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Individual

DR. GARY MARK SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5454
(603) 399-4429
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5454

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
5636
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000168
NH
Enumeration date
01/13/2007
Last updated
12/30/2011
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