Individual
JASON SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
624 W MAIN ST, NORWICH, CT 06360-6043
(860) 200-8098
(860) 200-8099
Mailing address
624 W MAIN ST, NORWICH, CT 06360-6043
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2221871
NY
207P00000X
Emergency Medicine Physician
Primary
69034
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02533104
—
NY
01
—
P00155126
RAILROAD
—
Enumeration date
04/19/2006
Last updated
07/07/2021
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