Organization
COASTAL DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL D GOOS MD (MANAGING PARTNER)
(978) 371-7010
Entity
Organization
Contact information
Practice address
829 AMERICAN LEGION HWY, WESTPORT, MA 02790-4128
(508) 306-1400
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
(978) 371-0522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
79581
MA
Other
Enumeration date
01/02/2017
Last updated
07/02/2025
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