Mystic Valley Mass, PC

NPI #1184377343 in Stoneham, Massachusetts

Provider Information

NPI Number: 1184377343
Entity Type: Organization
Organization Name: Mystic Valley Mass, PC
Subpart: Yes (part of a larger organization)
Parent Organization: MYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C.
Primary Specialty: Dermatology
Enumeration Date: Jan 28, 2022
Last Updated: Jan 28, 2022

Practice Location

Address: 92 MONTVALE AVE STE 3000
City: Stoneham
State: Massachusetts
ZIP Code: 02180-3658
Phone: (781) 438-6350

Authorized Official

Name: SAMUEL GOOS
Title: OWNER
Phone: (783) 717-0109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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