Mystic Valley Dermatology Associates, P.c.

NPI #1508996430 in Medford, Massachusetts

Provider Information

NPI Number: 1508996430
Entity Type: Organization
Organization Name: Mystic Valley Dermatology Associates, P.c.
Primary Specialty: Dermatology
Enumeration Date: Mar 7, 2007
Last Updated: Sep 11, 2020

Practice Location

Address: 92 HIGH ST
Address 2: T21
City: Medford
State: Massachusetts
ZIP Code: 02155-3850
Phone: (781) 391-0778

Authorized Official

Name: SAMUEL D GOOS, MD
Title: MANAGING PARTNER
Phone: (978) 371-7010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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