Individual
SHULAMITH C BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 PARK AVE STE 1, PORTLAND, ME 04102-2927
(207) 874-2141
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018586
ME
207R00000X
Internal Medicine Physician
49489
MN
208M00000X
Hospitalist Physician
018586
ME
Other
Enumeration date
10/03/2007
Last updated
04/27/2025
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