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Individual

DR. MARGUERITE H UPHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
106924
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000910785001
HEALTHNOW
05
00467661
NY
01
08839
BLUE SHIELD/HMO/EXCELLUS
01
161010811
RMSCO
01
4217140
AETNA MANAGED CHOICE
01
6492
TOTALCARE/MANAGED MA
NY
01
V018315
TRICARE
Enumeration date
11/16/2005
Last updated
02/17/2012
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