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Individual

DR. SIMON J SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO, DAOM

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1699
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1699
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
125064245
IL
208100000X
Physical Medicine & Rehabilitation Physician
248530
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
307126-01
NY
208100000X
Physical Medicine & Rehabilitation Physician
62963
CT

Other

Enumeration date
06/29/2011
Last updated
03/01/2021
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