Individual
DR. STANLEY M SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 COMMONS ST, RUTLAND, VT 05701
(802) 747-3600
(802) 773-8501
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
42-0006968
VT
207RC0000X
Cardiovascular Disease Physician
Primary
042-0006968
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002525
—
VT
01
—
060025588
RR MEDICARE
VT
Enumeration date
07/19/2006
Last updated
11/09/2018
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