Individual
DR. BRUCE MARSHALL SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
667 STONELEIGH AVE, SUITE 111, CARMEL, NY 10512-2454
(845) 278-8637
(845) 278-8695
Mailing address
667 STONELEIGH AVE, SUITE 111, CARMEL, NY 10512-2454
(845) 278-8637
(845) 278-8695
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N2987
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00419452
—
NY
Enumeration date
08/26/2005
Last updated
04/02/2008
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