Mystic Valley Dermatology Associates, P.C.

LBN: Mystic Valley Dermatology Associates, P.C.
Mystic Valley Dermatology Associates, P.C. is an health care organization with primary practice located at 92 Montvale Ave Ste 3000 , Stoneham MA 02180-3658. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mystic Valley Dermatology Associates, P.C. can be contacted via phone (781) 438-6350, or through Goos, Samuel D via phone (978) 371-7010.

Contact Information

Primary practice address
92 Montvale Ave Ste 3000 Stoneham MA 02180-3658
Fax: (781) 279-0430
Website:
Authorized official contact:
Name: Goos, Samuel D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Massachusetts

Profile Details

NPI number 1548213606
LBN Legal business name Mystic Valley Dermatology Associates, P.C.
DBA Doing business as
Authorized official Goos, Samuel D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Feb 9th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers