Active NPIOrganization

Mystic Valley Mass, PC

Dermatology in Stoneham, Massachusetts

NPI Number1184377343
Practice location
92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658
Fax
—
Last updated
January 28, 2022

Mystic Valley Mass, PC is a healthcare organization based in Stoneham, MA. Mystic Valley Mass, PC practices in Stoneham, MA. The NPI Number for Mystic Valley Mass, PC is 1184377343. The current practice location address for Mystic Valley Mass, PC is 92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658 and can be reached out via phone at 781-438-6350.

Provider Profile Details

NPI Number
1184377343
Provider Name
Mystic Valley Mass, PC
Provider Entity Type
Organization
Address
92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658
Phone Number
781-438-6350
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
Yes
Parent Organization
Mystic Valley Dermatology Associates, P.c.
Authorized Official
Samuel Goos · Owner · 783-717-0109
Provider Enumeration Date
January 28, 2022
Last Update Date
January 28, 2022
Certification Date
January 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Montvale Ave Ste 3000
Stoneham, MA 02180-3658
Zip
02180-3658
Phone Number
781-438-6350
Stoneham, MA 02180Get directions →

Provider Business Mailing Address Details

Address
526 Main St Ste 302
Acton, MA 01720-3301
City
Acton
State
MA
Zip
01720-3301
Phone Number
978-371-7010

License Information

Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mystic Valley Mass, PC?

The NPI number of Mystic Valley Mass, PC is 1184377343. It was assigned on January 28, 2022 and is currently active in the NPPES registry.

What is the specialty of Mystic Valley Mass, PC?

Mystic Valley Mass, PC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Mystic Valley Mass, PC practice?

The practice location is 92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658. The office can be reached at 781-438-6350 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184377343 directly on the NPPES registry website.

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