Provider Demographics
NPI:1518982313
Name:STURDY MEMORIAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:STURDY MEMORIAL ASSOCIATES, INC.
Other - Org Name:FOXBORO CENTER FOR WOMEN'S & FAMILY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHYAVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-236-8000
Mailing Address - Street 1:18 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1021
Mailing Address - Country:US
Mailing Address - Phone:508-698-5350
Mailing Address - Fax:508-698-5373
Practice Address - Street 1:18 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-1021
Practice Address - Country:US
Practice Address - Phone:508-698-5350
Practice Address - Fax:508-698-5373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9778454Medicaid
MAM17147OtherMABC
MA615273OtherTUFTS
MA37452OtherFALLON
MA9778454Medicaid
MA615273OtherTUFTS
MAM20624Medicare ID - Type Unspecified