MYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C. is a specialist in Stoneham, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C. NPI is 1548213606. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
92 MONTVALE AVE STE 3000
STONEHAM, MA
ZIP 02180-658
Phone: (781) 438-6350
Fax: (781) 279-0430
The provider's authorized official is Samuel D Goos .
The authorized official title is Managing Partner and has the following contact phone number (978) 371-7010.
The CLIA number assigned to this NPI record is 30D2044558 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 5/18/2006 and was last updated on 9/11/2020.