Individual
DR. SUSAN SARA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
25 VERNON ST, SACO, ME 04072-2722
(207) 602-9339
(207) 571-9970
Mailing address
25 VERNON ST, SACO, ME 04072-2722
(207) 602-9339
(207) 571-9970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1612
ME
Other
Enumeration date
12/11/2011
Last updated
12/11/2011
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