NPI 1942961750
Advanced Derm Mass, LLC
Practice location
- Address
- 802 Main St, Melrose, MA 02176-2708
- Phone
- (978) 371-7010
- Mailing address
- 526 Main St STE 302, Acton, MA 01720-3301
Authorised official
- Name
- Samuel Goos
- Title
- Owner
- Phone
- (617) 402-1000
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1942961750
- Entity type
- Organization
- NPI issued
- 4 Jan 2022
- Record last updated
- 28 Jan 2022
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.