Individual
DR. SUJATA MUKHOPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 373-6566
(207) 373-6569
Mailing address
324 GANNETT DR, SUITE 200, SOUTH PORTLAND, ME 04106-3270
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
013270
ME
Other
Enumeration date
12/29/2005
Last updated
07/03/2012
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