Individual
DR. MERCEDES ELVIRA MENENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVENUE NORTH, UMASS MEMORIAL MEDICAL CENTER, ADULT MENTAL HEALTH UNIT, WORCESTER, MA 01655-0002
(774) 442-2761
(774) 442-8357
Mailing address
P.O. BOX 415438, UMASS MEMORIAL MEDICAL GROUP, INC., BOSTON, MA 02241-5348
(800) 225-2225
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
206640
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118150
—
MA
01
—
206640
MEDICAL LICENSE #
MA
Enumeration date
12/01/2005
Last updated
11/16/2010
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