Advanced Derm Mass, LLC
NPI #1942961750 in Melrose, Massachusetts
Provider Information
- NPI Number
- 1942961750
- Entity Type
- Organization
- Organization Name
- Advanced Derm Mass, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ADVANCED DERMATOLOGY OF MELROSE, PLLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Jan 4, 2022
- Last Updated
- Jan 28, 2022
Practice Location
- Address
- 802 MAIN ST
- City
- Melrose
- State
- Massachusetts
- ZIP Code
- 02176-2708
- Phone
- (978) 371-7010
Authorized Official
- Name
- SAMUEL GOOS
- Title
- OWNER
- Phone
- (617) 402-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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