| Dr Eric Bruce Shapiro, DO | |
|
300 Evergreen Dr Ste 160, Nemours Dupont Pediatrics, Concordville, Glen Mills, PA 19342-1059 | |
| (610) 358-2410 | |
| (610) 459-9183 |
| Full Name | Dr Eric Bruce Shapiro |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 300 Evergreen Dr Ste 160, Glen Mills, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275576480 | NPI | - | NPPES |
| 000594757-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS004112L (Pennsylvania) | Primary |
| 208000000X | Pediatrics | OS004112L (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Bruce Shapiro, DO Po Box 191, Provider Enrollment Department, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Dr Eric Bruce Shapiro, DO 300 Evergreen Dr Ste 160, Nemours Dupont Pediatrics, Concordville, Glen Mills, PA 19342-1059 Ph: (610) 358-2410 |