Provider Demographics
NPI:1144485145
Name:ROCA MATTEI, ANA MERCEDES (MD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:MERCEDES
Last Name:ROCA MATTEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 NEW LUDLOW RD.
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020
Mailing Address - Country:US
Mailing Address - Phone:413-536-8924
Mailing Address - Fax:413-532-9141
Practice Address - Street 1:2 HOSPITAL DR., SUITE 101 WESTERN MASS PHYSICIAN ASSOCI
Practice Address - Street 2:D/B/A: HOLYOKE ASSOCIATIES IN INTERNAL MEDICINE
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-536-8924
Practice Address - Fax:413-532-9141
Is Sole Proprietor?:No
Enumeration Date:2008-07-20
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA252723207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110094126AMedicaid