Individual
ANDREW GUPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
775 N MAIN ST, WINTERPORT, ME 04496
(207) 223-5074
(207) 223-5953
Mailing address
PO BOX 921, BANGOR, ME 04402-0921
(207) 942-7650
(207) 990-5586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA371
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276740099
—
ME
Enumeration date
08/05/2006
Last updated
11/12/2009
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