Organization
STURDY RADIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KAPLAN MD (PRESIDENT)
(508) 236-7750
Entity
Organization
Contact information
Practice address
211 PARK STREET, ATTLEBORO, MA 02703-3143
(508) 236-7750
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
MA
2085R0202X
Diagnostic Radiology Physician
Primary
—
MA
2085R0204X
Vascular & Interventional Radiology Physician
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11078164/A
—
MA
05
—
9790764
—
MA
01
—
PENDING
BCBS
MA
05
—
PENDING
—
MA
Enumeration date
07/18/2007
Last updated
04/10/2012
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