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Individual
BRUCE K SHAPIRO
Active
Individual
BRUCE K SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D19112
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220081300
—
MD
01
—
42080401
CAREFIRST BC BS
MD
Enumeration date
01/08/2007
Last updated
10/15/2012
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