Sofia Shapiro, Md, Llc | |
511 S Orange Ave South Orange NJ 07079-2636 | |
(973) 763-8950 | |
(973) 763-5216 |
Full Name | Sofia Shapiro, Md, Llc |
---|---|
Speciality | Internal Medicine |
Location | 511 S Orange Ave, South Orange, New Jersey |
Authorized Official Name and Position | Sofia Shapiro (OFFICER) |
Authorized Official Contact | 9737638950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sofia Shapiro, Md, Llc 511 S Orange Ave South Orange NJ 07079-2636 Ph: (973) 763-8950 | Sofia Shapiro, Md, Llc 511 S Orange Ave South Orange NJ 07079-2636 Ph: (973) 763-8950 |
NPI Number | 1760532147 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 09/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760532147 | NPI | - | NPPES |
8043701 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA069937 (New Jersey) | Primary |
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