Individual
JASON SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8450
(401) 444-5088
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8306
(401) 444-8748
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD12750
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD12750
LICENSE
RI
Enumeration date
04/20/2007
Last updated
07/05/2011
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