Shapiro, Gary Mark

Shapiro, Gary Mark is an individual health care provider with primary practice located at 590 Court St , Keene NH 03431-1719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Shapiro, Gary Mark can be contacted via phone (603) 354-5454.

Contact Information

Primary practice address
590 Court St Keene NH 03431-1719
Fax: (603) 399-4429
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 5636 New Hampshire

Profile Details

NPI number 1558412965
LBN Legal business name Shapiro, Gary Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2007
Last updated Dec 30th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558412965 NPPES
New Hampshire MEDICAID 00000168

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