Healthcare Provider Details

I. General information

NPI: 1386708360
Provider Name (Legal Business Name): JAMES M UHL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 FOSTER ST
WAKEFIELD MA
01880-2911
US

IV. Provider business mailing address

9 FOSTER ST
WAKEFIELD MA
01880-2911
US

V. Phone/Fax

Practice location:
  • Phone: 781-224-2582
  • Fax: 781-224-2582
Mailing address:
  • Phone: 781-224-2582
  • Fax: 781-224-2582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number52900
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: