Active NPIOrganization

Coastal Dermatology INC

Dermatology in Westport, Massachusetts

NPI Number1760927610
Practice location
829 American Legion Hwy, Westport, MA 02790-4128
Fax
—
Last updated
October 6, 2026

Coastal Dermatology INC is a healthcare organization based in Westport, MA. Coastal Dermatology INC practices in Westport, MA. The NPI Number for Coastal Dermatology INC is 1760927610 and holds a License No. 79581 (MA). The current practice location address for Coastal Dermatology INC is 829 American Legion Hwy, Westport, MA 02790-4128 and can be reached out via phone at 508-306-1400.

Provider Profile Details

NPI Number
1760927610
Provider Name
Coastal Dermatology INC
Provider Entity Type
Organization
Address
829 American Legion Hwy, Westport, MA 02790-4128
Phone Number
508-306-1400
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Samuel D Goos, MD · Managing Partner · 978-371-7010
Provider Enumeration Date
January 2, 2017
Last Update Date
October 6, 2026
Certification Date
October 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
829 American Legion Hwy
Westport, MA 02790-4128
Zip
02790-4128
Phone Number
508-306-1400
Westport, MA 02790Get 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

License Number (1)
79581
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 Coastal Dermatology INC?

The NPI number of Coastal Dermatology INC is 1760927610. It was assigned on January 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Coastal Dermatology INC?

Coastal Dermatology INC is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in MA under license number 79581.

Where does Coastal Dermatology INC practice?

The practice location is 829 American Legion Hwy, Westport, MA 02790-4128. The office can be reached at 508-306-1400 (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 1760927610 directly on the NPPES registry website.

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