| NPI | 1235478595 |
|---|---|
| Doing Business As | NORTHEAST SURGERY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | SAMUEL GOOS Owner/Managing Partner 978-371-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 153438) |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 79526) | |
| 207W00000X Ophthalmology (Licence: MA 160016) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2024-10-17 |