Individual
DR. JOSEPH UPTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
822 BOYLSTON ST, CHESTNUT HILL, MA 02467-2595
(617) 739-1972
(617) 739-6624
Mailing address
PO BOX 67191, CHESTNUT HILL, MA 02467-0002
(617) 739-1972
(617) 739-6624
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
41025
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710353
TUFTS
MA
01
—
B77000BI
HARVARD PILGRIM
MA
01
—
M09457
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/14/2005
Last updated
03/16/2019
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