Individual
JEREMY R SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-1463
(814) 452-5101
Mailing address
3540 WINDSOR DR, ERIE, PA 16506-2219
(630) 335-5718
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
321631
NY
390200000X
Student in an Organized Health Care Education/Training Program
HS000220L
PA
Other
Enumeration date
09/20/2008
Last updated
08/29/2023
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