Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mystic Valley Dermatology Associates, PC

Organization Dermatology Physician · NPI 1508996430

Mystic Valley Dermatology Associates, PC provides Dermatology Physician services in Medford, Massachusetts. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

92 High St T21
Medford, MA 02155-3850
Phone: (781) 391-0778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1508996430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Goos — Managing Partner · (978) 371-7010
NPI enumeratedMarch 7, 2007
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address526 Main St Ste 302, Acton, MA 01720-3301