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 is a Dermatology Physician 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