Individual
GARY I SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 ARK RD, SUITE 103, MOUNT LAUREL, NJ 08054-3100
(856) 778-4756
(856) 778-1742
Mailing address
204 ARK RD, SUITE 103, MOUNT LAUREL, NJ 08054-3100
(856) 778-4756
(856) 778-1742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06119800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6931707
—
NJ
Enumeration date
02/28/2006
Last updated
10/19/2020
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