Whalio Doctors

NPI 1568907533

Advanced Dermatology and Aesthetic Center LLC

Organisation Dermatology Physician Melrose, MA

Practice location

Address
1 City Hall Plz, Melrose, MA 02176-3149
Phone
(781) 662-8881
Fax
(781) 662-8886
Mailing address
526 Main St STE 302, Acton, MA 01720-3301

Authorised official

Name
Samuel Goos
Title
Managing Partner
Phone
(978) 371-7010

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 156364 (MA)

Registry record

NPI
1568907533
Entity type
Organization
NPI issued
30 Dec 2016
Record last updated
24 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.