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Individual

LEO M SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
90 BALDPATE RD, GEORGETOWN, MA 01833-2304
(978) 352-4038
Mailing address
90 BALDPATE RD, GEORGETOWN, MA 01833-2304
(978) 352-4038

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30921
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2005824
MA
Enumeration date
10/25/2006
Last updated
07/08/2007
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