Organization
MENDES MEDICAL ASSOC. PC
Active
Organization
MENDES MEDICAL ASSOC. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO C MENDES M.D (MEDICAL DIRECTOR)
(617) 327-7465
Entity
Organization
Contact information
Practice address
55 BELGADE AVE, ROSLINDALE, MA 02131-2413
(617) 327-7465
(617) 363-9993
Mailing address
55 BELGRADE AVE, ROSLINDALE, MA 02131-2413
(617) 327-7465
(617) 363-9993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80176
MA
207R00000X
Internal Medicine Physician
80176
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110069096A
—
MA
05
—
9729259
—
MA
01
—
M19669
BCBS
MA
Enumeration date
12/26/2007
Last updated
07/31/2012
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