Individual
DR. SUSAN B. UPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
323 MARGINAL WAY, PORTLAND, ME 04101-2543
(207) 780-6631
(207) 780-6320
Mailing address
34 RIVERS EDGE DR, KENNEBUNK, ME 04043-7742
(207) 967-4835
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
013905
ME
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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