DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUSAN SARA SHAW, D.O.

Active Sole Proprietor

Family Medicine · SACO, ME

Registration Details

NPI Number
1750659397
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2011 (14.379900001553 yrs)
Last Updated
Dec 11, 2011
License
1612 (ME)
Sole Proprietor
Yes

Practice Information

Address
25 VERNON ST
SACO, ME, 040722722
Browse ME providers · Browse ZIP 04072
Phone
2076029339
Fax
2075719970
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SACO, ME

Name Credential NPI
DR. JUDY WELCH M.D. 1174519235
DR. MARK NORMAN MARIN D.O. 1760473409
DR. DANIEL M PIERCE DO 1962485698
REUBEN P BELL DO 1376529982
JEFFREY J HOLMSTROM D.O. 1952387326
KATHRYN BRANDT D.O. 1619943917
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.