Coastal Apderm Mass, LLC

NPI #1871236471 in Westport, Massachusetts

Provider Information

NPI Number: 1871236471
Entity Type: Organization
Organization Name: Coastal Apderm Mass, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: COASTAL DERMATOLOGY INC
Primary Specialty: Dermatology
Enumeration Date: Apr 20, 2022
Last Updated: Apr 20, 2022

Practice Location

Address: 829 AMERICAN LEGION HWY
City: Westport
State: Massachusetts
ZIP Code: 02790-4128
Phone: (978) 371-7010

Authorized Official

Name: SAMUEL GOOS
Title: OWNER
Phone: (978) 371-7010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Provider Name	Specialty	City
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