Individual
JENICA N. UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 363-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
246798
MA
Other
Enumeration date
06/09/2008
Last updated
01/07/2016
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