Organization
BETHEL MEDICAL GROUP, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SHAPIRO M. D. (VICE-PRESIDENT)
(203) 744-1639
Entity
Organization
Contact information
Practice address
155 GREENWOOD AVE, BETHEL, CT 06801-2527
(203) 744-1639
(203) 748-1202
Mailing address
155 GREENWOOD AVE, BETHEL, CT 06801-2527
(203) 744-1639
(203) 748-1202
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
016412
CT
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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