Whalio Doctors

NPI 1942961750

Advanced Derm Mass, LLC

Organisation Dermatology Physician Melrose, MA

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
Allopathic & Osteopathic Physicians Taxonomy 207N00000X

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.