Mendoza, Alejandro Y

Mendoza, Alejandro Y is an sole proprietor health care provider with primary practice located at 235 North Pearl Street Caritas Good Samaritan Med Ctr, Brockton MA 02301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mendoza, Alejandro Y can be contacted via phone (508) 427-3000.

Contact Information

Primary practice address
235 North Pearl Street Caritas Good Samaritan Med Ctr Brockton MA 02301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 74729 Massachusetts

Profile Details

NPI number 1326086638
LBN Legal business name Mendoza, Alejandro Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated May 20th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326086638 NPPES
Massachusetts Other J11608 BLUE CROSS
Massachusetts Other 22037 BLUE CROSS
Massachusetts MEDICAID 3082725 BLUE CROSS
Massachusetts Other 006271 BLUE CROSS
Massachusetts Other 0025189 BLUE CROSS
Massachusetts Other 731509 BLUE CROSS

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