Individual
NATHAN IVAN SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, CC2-W, BOSTON, MA 02215-5400
(617) 754-2343
Mailing address
180 COMMONWEALTH AVE, #19, BOSTON, MA 02116-2750
(617) 566-6007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
158863
MA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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