Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Boston Dermatology and Laser Center, LLC

Organization Dermatology Physician · NPI 1215963574

Boston Dermatology and Laser Center, LLC is a Dermatology Physician in Boston, Massachusetts. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
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 02114-2517
Phone: (617) 722-4100
Fax: (617) 227-1134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Carleton St Bldg E23, Cambridge, MA 02142-1323 — (617) 258-9768

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1215963574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Goos — Owner/Managing Partner · (978) 371-7010
NPI enumeratedJune 25, 2006
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address526 Main St Ste 302, Acton, MA 01720-3301

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