Provider Demographics
NPI:1942359856
Name:STURDY MEMORIAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:STURDY MEMORIAL ASSOCIATES, INC.
Other - Org Name:STURDY ORTHOPEDIC & SPORTS MEDICINE ASSOCIATES
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 1:281 COUNTY ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3511
Mailing Address - Country:US
Mailing Address - Phone:508-226-2213
Mailing Address - Fax:508-431-2637
Practice Address - Street 1:281 COUNTY ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3511
Practice Address - Country:US
Practice Address - Phone:508-226-2213
Practice Address - Fax:508-431-2637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9778454Medicaid
MA110071163/OMedicaid
650626OtherTUFTS
MA9778454Medicaid
MA0599980002Medicare NSC