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General NPI Number Information
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NPI Number | 1558296871
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Entity Type | Organization
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Legal Business Name | APDERM MASSACHUSETTS PC - PATHOLOGY
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 133 LITTLETON RD STE 310
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City | WESTFORD
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State | MA
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Zip | 01886-3198
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Country | US
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Telephone | 978-692-9978
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Fax | 978-589-6835
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Provider Business Mailing Address
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Address Line | 526 MAIN ST STE 302
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City | ACTON
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State | MA
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Zip | 01720-3301
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Country | US
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Telephone | 978-371-7010
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Fax | 978-371-0522
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | SAMUEL D GOOS
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Credential | MD
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Telephone | 978-371-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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