Individual
RAYMOND SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
142 N QUEEN ST, SUITE 103, MARTINSBURG, WV 25401-3312
(301) 639-8393
Mailing address
PO BOX 4025, GAITHERSBURG, MD 20885-4025
(301) 639-8393
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
18045
WV
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD042741L
PA
2084P0800X
Psychiatry Physician
Primary
18045
WV
2084P0800X
Psychiatry Physician
MD042741L
PA
2084P0802X
Addiction Psychiatry Physician
18045
WV
2084P0802X
Addiction Psychiatry Physician
MD042741L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18045
MEDICAL LICENSE
WV
01
—
D45791
MEDICAL LICENSE
MD
01
—
MD042741L
MEDICAL LICENSE
PA
Enumeration date
09/16/2006
Last updated
07/19/2007
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