Provider Demographics
NPI:1558331892
Name:ROSSI, THOMAS V (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:V
Last Name:ROSSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10 HOSPITAL DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-6603
Mailing Address - Country:US
Mailing Address - Phone:413-536-5814
Mailing Address - Fax:413-536-3437
Practice Address - Street 1:10 HOSPITAL DR
Practice Address - Street 2:SUITE 203
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-6603
Practice Address - Country:US
Practice Address - Phone:413-536-5814
Practice Address - Fax:413-536-3437
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA32428207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2024306Medicaid
MA9702547Medicaid
MA2024306Medicaid
MAH10139Medicare ID - Type Unspecified