Dr. Bruce S. Shames
Dermatopathologist
761 Main Ave Suite 102
Norwalk
, Connecticut 06851-1080
Dr. Bruce S. Shames
Dermatopathologist
761 Main Ave Suite 102
Norwalk
, Connecticut 06851-1080
(203) 810-4151
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About
Features
Specialties
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Dr. Bruce S. Shames
- 761 Main Ave Suite 102
- Norwalk, CT
- Zip : 06851-1080
- Fax : (203) 810-4151
- Phone : (203) 810-4151
Second Address
- Dr. Bruce S. Shames
- 761 Main Ave Suite 102
- Norwalk, CT
- Zip : 06851-1080
- Fax : (203) 810-4151
- Phone : (203) 810-4151
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207ND0900X | Dermatopathologist | 179433-1 | NY |
National Provider Identifier
| NPI | 1154320232 |
|---|---|
| Provider Name | Dr. Bruce S. Shames |
| First Address | Norwalk, CT 06851-1080 |
| Second Address | Norwalk, CT 06851-1080 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2005 |
| Last Update Date | 01/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E72963 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.