Active NPIOrganization

Advanced Dermatology And Aesthetic Center LLC

Dermatology in Melrose, Massachusetts

NPI Number1568907533
Practice location
1 City Hall Plz, Melrose, MA 02176-3149
Fax
781-662-8886
Last updated
October 6, 2026

Advanced Dermatology And Aesthetic Center LLC is a healthcare organization based in Melrose, MA. Advanced Dermatology And Aesthetic Center LLC practices in Melrose, MA. The NPI Number for Advanced Dermatology And Aesthetic Center LLC is 1568907533 and holds a License No. 156364 (MA). The current practice location address for Advanced Dermatology And Aesthetic Center LLC is 1 City Hall Plz, Melrose, MA 02176-3149 and can be reached out via phone at 781-662-8881 and via fax at 781-662-8886.

Provider Profile Details

NPI Number
1568907533
Provider Name
Advanced Dermatology And Aesthetic Center LLC
Provider Entity Type
Organization
Address
1 City Hall Plz, Melrose, MA 02176-3149
Phone Number
781-662-8881
Fax Number
781-662-8886
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Samuel D Goos · Managing Partner · 978-371-7010
Provider Enumeration Date
December 30, 2016
Last Update Date
October 6, 2026
Certification Date
October 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 City Hall Plz
Melrose, MA 02176-3149
Zip
02176-3149
Phone Number
781-662-8881
Fax Number
781-662-8886
Melrose, MA 02176Get 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
978-849-7537

License Information

License Number (1)
156364
License State (1)
MA
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 Advanced Dermatology And Aesthetic Center LLC?

The NPI number of Advanced Dermatology And Aesthetic Center LLC is 1568907533. It was assigned on December 30, 2016 and is currently active in the NPPES registry.

What is the specialty of Advanced Dermatology And Aesthetic Center LLC?

Advanced Dermatology And Aesthetic Center LLC is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in MA under license number 156364.

Where does Advanced Dermatology And Aesthetic Center LLC practice?

The practice location is 1 City Hall Plz, Melrose, MA 02176-3149. The office can be reached at 781-662-8881 (phone) or 781-662-8886 (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 1568907533 directly on the NPPES registry website.

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