Individual
DR. ERIC BRUCE SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 EVERGREEN DR STE 160, NEMOURS DUPONT PEDIATRICS, CONCORDVILLE, GLEN MILLS, PA 19342-1059
(610) 358-2410
(610) 459-9183
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS004112L
PA
208D00000X
General Practice Physician
Primary
OS004112L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000594757-0001
—
PA
Enumeration date
06/14/2006
Last updated
09/15/2015
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