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Individual

DR. MIA SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
164 OTROBANDO AVE, NORWICH, CT 06360-2116
(860) 425-8740
(860) 886-1445
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
72792
CT
208600000X
Surgery Physician
ME141505
FL

Other

Enumeration date
06/07/2011
Last updated
12/15/2022
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