Adult & Pediatric Dermatology, P.C.

LBN: Adult & Pediatric Dermatology, P.C.
Adult & Pediatric Dermatology, P.C. is an health care organization with primary practice located at 526 Main St Suite 302, Acton MA 01720-3301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Adult & Pediatric Dermatology, P.C. can be contacted via phone (978) 371-7010, or through Goos, Samuel D via phone (978) 371-7010.

Contact Information

Primary practice address
526 Main St Suite 302 Acton MA 01720-3301
Phone: (978) 371-7010
Fax: (978) 371-0522
Website:
Map and Directions
Authorized official contact:
Name: Goos, Samuel D Doctor of Medicine (MD)
Phone: (978) 371-7010

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1285614834
LBN Legal business name Adult & Pediatric Dermatology, P.C.
DBA Doing business as
Authorized official Goos, Samuel D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 15th, 2015 - about 11 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285614834 NPPES
Massachusetts Other M17456 BC/BS OF MA GROUP NUMBER
Massachusetts Other 607334 BC/BS OF MA GROUP NUMBER

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