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Individual

ALEJANDRO Y MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
235 NORTH PEARL STREET, CARITAS GOOD SAMARITAN MED CTR, BROCKTON, MA 02301
(508) 427-3000
Mailing address
3 CLARA HOWARD WAY, NORTH EASTON, MA 02356-1024
(508) 427-3000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
74729
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0025189
NEIGHBORHOOD HEALTH PLAN
MA
01
006271
HARVARD PILGRIM
MA
01
22037
HEALTHNET
MA
05
3082725
MA
01
731509
TUFTS
MA
01
J11608
BLUE CROSS
MA
Enumeration date
06/02/2006
Last updated
05/20/2008
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