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NPI Code Detail

MEDICARE: DR. MOCHO MENSAH M.D.

MEDICARE: DR. MOCHO MENSAH 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
1207R00000XInternal Medicine Physician0101244745VA
2207R00000XInternal Medicine Physician311766NY
3208M00000XHospitalist Physician311766NY

General Provider Information

NPI Number : 1932340932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOCHO MENSAH M.D.
Provider Business Mailing Address
First Line : 23 SYCAMORE LN
Second Line :
City : BEAR
State : DE
Zip : 19701-6382
Country : US
Telephone Number : 801-352-9500
Fax Number : 801-352-9502
Provider Business Practice Location Address
First Line : 1555 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-4164
Country : US
Telephone Number : 585-922-5067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2009
Last Update Date : 11/10/2022

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