Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 25MD00250800 | NJ |
NPI | 1043208630 |
---|---|
Provider Name | Dr. Craig Alan Shapero |
First Address | Monroe Township, NJ 08831-1501 |
Second Address | Monroe Township, NJ 08831-1501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2005 |
Last Update Date | 27/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U80515 | (02) | NJ |