Organization
PLAZA CHIROPRACTIC CENTER
Active
Other names
Dr. Ira Shapiro
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA A. SHAPIRO DC (DIRECTOR)
(732) 723-0023
Entity
Organization
Contact information
Practice address
1314 ENGLISHTOWN RD, OLD BRIDGE, NJ 08857-1580
(732) 723-0023
(732) 723-1614
Mailing address
1314 ENGLISHTOWN RD, OLD BRIDGE, NJ 08857-1580
(732) 723-0023
(732) 723-1614
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00270800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111NS00005X
TAXONOMY
NJ
01
—
1497731319
NPI
NJ
05
—
5565901
—
NJ
Enumeration date
03/25/2015
Last updated
03/25/2015
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