Provider Demographics
NPI:1861698706
Name:SURGICAL ASSOCIATES,INC.
Entity type:Organization
Organization Name:SURGICAL ASSOCIATES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-877-6067
Mailing Address - Street 1:79 WINCH ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701
Mailing Address - Country:US
Mailing Address - Phone:508-877-6067
Mailing Address - Fax:
Practice Address - Street 1:79 WINCH ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3737
Practice Address - Country:US
Practice Address - Phone:508-877-6067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25501174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB18116OtherBLUE SHIELD BLUE CROSS
MA702597OtherTUFTS HEALTH PLAN
MA4212432OtherAETNA
MA0006136OtherGIC,UNICARE
MA0018229OtherNEIGHBORHOOD HEALTH
MA2004453Medicaid
MA2000000122OtherHARVARD PILGRIM
MA4871OtherFALLON COMMUNITY HEALTH
MAB18116OtherBLUE SHIELD BLUE CROSS
MAB87051Medicare UPIN