Individual
DR. RUTH ESTHER UPHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2355
Mailing address
88 FIELDS FARM RD, CHARLOTTE, VT 05445-9428
(802) 425-2910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042-0006575
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005253
—
VT
05
—
E01066646
—
NY
Enumeration date
07/07/2006
Last updated
07/08/2007
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