Active NPIOrganization

Mystic Valley Dermatology Associates, P.c.

Dermatology in Stoneham, Massachusetts

NPI Number1548213606
Practice location
92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658
Fax
781-279-0430
Last updated
October 7, 2026

Mystic Valley Dermatology Associates, P.c. is a healthcare organization based in Stoneham, MA. Mystic Valley Dermatology Associates, P.c. practices in Stoneham, MA. The NPI Number for Mystic Valley Dermatology Associates, P.c. is 1548213606. The current practice location address for Mystic Valley Dermatology Associates, P.c. is 92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658 and can be reached out via phone at 781-438-6350 and via fax at 781-279-0430.

Provider Profile Details

NPI Number
1548213606
Provider Name
Mystic Valley Dermatology Associates, P.c.
Provider Entity Type
Organization
Address
92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658
Phone Number
781-438-6350
Fax Number
781-279-0430
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Samuel D Goos, MD · Managing Partner · 978-371-7010
Provider Enumeration Date
May 18, 2006
Last Update Date
October 7, 2026
Certification Date
October 7, 2026
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
Fax Number
781-279-0430
Stoneham, MA 02180Get directions →

Provider Business Mailing Address Details

Address
526 Main St Ste 302
Acton, MA 01720-3310
City
Acton
State
MA
Zip
01720-3310
Phone Number
978-371-7010
Fax Number
978-371-0522

License Information

Taxonomy (1)
Dermatology · 207N00000X · Primary
Taxonomy (2)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Taxonomy (3)
Dermatology, Dermatopathology · 207ND0900X

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 Dermatology Associates, P.c.?

The NPI number of Mystic Valley Dermatology Associates, P.c. is 1548213606. It was assigned on May 18, 2006 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 Montvale Ave Ste 3000, Stoneham, MA 02180-3658. The office can be reached at 781-438-6350 (phone) or 781-279-0430 (fax).

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 1548213606 directly on the NPPES registry website.

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