MEDICARE: DR. THOMAS V ROSSI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	32428	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558331892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS V ROSSI M.D.

Provider Business Mailing Address
First Line	:	10 HOSPITAL DR
Second Line	:	SUITE 203
City	:	HOLYOKE
State	:	MA
Zip	:	01040-6603
Country	:	US
Telephone Number	:	413-536-5814
Fax Number	:	413-536-3437

Provider Business Practice Location Address
First Line	:	10 HOSPITAL DR
Second Line	:	SUITE 203
City	:	HOLYOKE
State	:	MA
Zip	:	01040-6603
Country	:	US
Telephone Number	:	413-536-5814
Fax Number	:	413-536-3437

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	12/14/2012

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