Organization
PAUL A. SHAPERO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A. SHAPERO M.D. (OWNER)
(207) 947-8658
Entity
Organization
Contact information
Practice address
700 MOUNT HOPE AVE, SUITE 430, BANGOR, ME 04401-5691
(207) 947-8658
(207) 947-4440
Mailing address
700 MOUNT HOPE AVE, SUITE 430, BANGOR, ME 04401-5691
(207) 947-8658
(207) 947-4440
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
008473
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000028
ANTHEM
ME
01
—
772052
AETNA
ME
01
—
M67891
CIGNA
ME
Enumeration date
10/27/2006
Last updated
08/22/2020
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