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

Bd & L Provider LLC

Organization Dermatology Physician · NPI 1629209234

Bd & L Provider LLC is a Dermatology Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2009.

Licensed in
MA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 Lancaster St Ste 400
Boston, MA 02114
Phone: (617) 722-4100
Fax: (617) 227-1134
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (MA)

Record details

NPI number1629209234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Goos — Owner · (978) 370-7010
NPI enumeratedJuly 30, 2009
Last updated in NPPESJune 21, 2019
Mailing address30 Lancaster Street, Suite 400, Boston, MA 02114

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