DR. Susan Sara Shaw, D.O.

NPI #1750659397 in Saco, Maine

Provider Information

NPI Number: 1750659397
Entity Type: Individual
Name: DR. Susan Sara Shaw, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Dec 11, 2011
Last Updated: Dec 11, 2011

Practice Location

Address: 25 VERNON ST
City: Saco
State: Maine
ZIP Code: 04072-2722
Phone: (207) 602-9339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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