Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 062285 | GA |
N | 208000000X | Pediatrician | 62285 | GA |
N | 2080P0208X | Pediatric Infectious Diseases | 62285 | GA |
Y | 2080P0208X | Pediatric Infectious Diseases | C1-0012512 | DE |
NPI | 1558528448 |
---|---|
Provider Name | Dr. Craig Andrew Shapiro |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 22/01/2021 |