Organization
TRUESDALE SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD J MONCHIK MD (PRESIDENT)
(508) 676-3411
Entity
Organization
Contact information
Practice address
1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 02720
(508) 676-3411
(508) 676-0932
Mailing address
1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 02720
(508) 676-3411
(508) 676-0932
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008822
NHP
—
01
—
0124523
AETNA
—
01
—
1709090
UHC
—
01
—
43137
BS
RI
01
—
605004
TUFTS
—
05
—
9754156
—
MA
01
—
C201
HPHC
—
01
—
CB5955
RAIL ROAD MEDICARE
MA
01
—
M14632
MASS BS
—
01
—
S014348
TRICARE
—
05
—
TS05277
—
RI
Enumeration date
07/03/2006
Last updated
09/03/2013
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