Individual
DR. ALICIA MENDEZ ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 BEECH ST, HOLYOKE, MA 01040-2223
(413) 534-2543
(413) 534-2655
Mailing address
PO BOX 478, ENFIELD, CT 06083-0478
(860) 763-3864
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
34125
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034125
CONNECTICARE
CT
01
—
034125
TUFTS
MA
05
—
1200798
—
MA
01
—
6288726002
CIGNA
MA
01
—
H10136
BLUE CROSS
MA
Enumeration date
10/21/2006
Last updated
07/08/2007
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