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

Mystic Valley Mass, PC

Organization Dermatology Physician · NPI 1184377343

Mystic Valley Mass, PC is a Dermatology Physician in Stoneham, Massachusetts. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

92 Montvale Ave Ste 3000
Stoneham, MA 02180-3658
Phone: (781) 438-6350
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 number1184377343
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMystic Valley Dermatology Associates, PC
Authorized official Samuel Goos — Owner · (783) 717-0109
NPI enumeratedJanuary 28, 2022
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address526 Main St Ste 302, Acton, MA 01720-3301

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