Adult & Pediatric Dermatology, P.C.
Organization Active NPI Dermatology Physician · Acton, MA
NPI 1679901193 · NPPES record last updated Oct 20, 2016
Key facts
- NPI
- 1679901193
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- ADULT & PEDIATRIC DERMATOLOGY, P.C.
- Practice address
- 526 Main St
Suite 302
Acton, MA 01720-3301 - Phone
- (978) 371-7010
- Fax
- (978) 371-0522
- NPI assigned
- Oct 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Samuel Goos, M.D.
- Title
- President
- Phone
- (978) 371-7010
Corporate family (same tax ID) 1
Practitioners 1
-
Samuel D Goos, M.D.
National Provider Directory
- Tax ID family
- Apderm Path
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes |
Addresses
Primary practice location
526 Main St
Suite 302
Acton, MA 01720-3301
Mailing address
526 Main St
Suite 302
Acton, MA 01720-3301
Phone (978) 371-7010
Other providers in Acton, MA
- Acton Public Schools
- Acton Smile Dental PLLC
- Acton Smile Hub PC
- Acton-Boxborough Regional
- Cynthia J Adamski
- Daniela Aguilar
- Owen Akeley
- Kerry Pugh Alexander
- Alternative Care Providers
- Heidi Factor Anderson
All providers in Acton, MA · Dermatology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.