Mystic Valley Dermatology Associates, P.c.
Dermatology in Medford, Massachusetts
1508996430- Practice location
- 92 High St, T21, Medford, MA 02155-3850
- Phone
- 781-391-0778
- Fax
- —
- Last updated
- April 24, 2026
Mystic Valley Dermatology Associates, P.c. is a healthcare organization based in Medford, MA. Mystic Valley Dermatology Associates, P.c. practices in Medford, MA. The NPI Number for Mystic Valley Dermatology Associates, P.c. is 1508996430. The current practice location address for Mystic Valley Dermatology Associates, P.c. is 92 High St, T21, Medford, MA 02155-3850 and can be reached out via phone at 781-391-0778.
Provider Profile Details
- NPI Number
- 1508996430
- Provider Name
- Mystic Valley Dermatology Associates, P.c.
- Provider Entity Type
- Organization
- Address
- 92 High St, T21, Medford, MA 02155-3850
- Phone Number
- 781-391-0778
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Samuel D Goos, MD · Managing Partner · 978-371-7010
- Provider Enumeration Date
- March 7, 2007
- Last Update Date
- April 24, 2026
- Certification Date
- April 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 92 High St
T21
Medford, MA 02155-3850 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3850
- Phone Number
- 781-391-0778
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
- Fax Number
- 978-371-0522
License Information
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dermatology Associates, P.c.?
The NPI number of Mystic Valley Dermatology Associates, P.c. is 1508996430. It was assigned on March 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Mystic Valley Dermatology Associates, P.c.?
Mystic Valley Dermatology Associates, P.c. is registered under the primary taxonomy Dermatology (code 207N00000X).
Where does Mystic Valley Dermatology Associates, P.c. practice?
The practice location is 92 High St, T21, Medford, MA 02155-3850. The office can be reached at 781-391-0778 (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 1508996430 directly on the NPPES registry website.