Provider Demographics
NPI:1720273816
Name:ALEJANDRO Y. MENDOZA, M.D., LLC
Entity Type:Organization
Organization Name:ALEJANDRO Y. MENDOZA, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-312-4423
Mailing Address - Street 1:3 CLARA HOWARD WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1024
Mailing Address - Country:US
Mailing Address - Phone:617-312-4423
Mailing Address - Fax:508-749-6001
Practice Address - Street 1:3 CLARA HOWARD WAY
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1024
Practice Address - Country:US
Practice Address - Phone:617-312-4423
Practice Address - Fax:508-749-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty