Individual
DR. EDITH TENNENBAUM SHAPIRO
Active
Individual
DR. EDITH TENNENBAUM SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
25MA02257400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015271
GHI
NJ
01
—
050643
VALUE OPTIONS
NJ
01
—
229708
COMPSYCH
NJ
Enumeration date
11/21/2006
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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