Organization
APDERM EAST, PC
Active
Parent organization
ADULT & PEDIATRIC DERMATOLOGY, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADULT & PEDIATRIC DERMATOLOGY, P.C.
Authorized official
SAMUEL GOOS (MANAGING PARTNER)
(978) 371-7010
Entity
Organization
Contact information
Practice address
17-19 ELISSA AVE, WAYLAND, MA 01778
(978) 371-7010
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
07/19/2022
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