| Sofia Shapiro, Md, Llc | |
|
511 S Orange Ave South Orange NJ 07079-2636 | |
| (973) 763-8950 | |
| (973) 763-5216 |
| Full Name | Sofia Shapiro, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 511 S Orange Ave, South Orange, New Jersey |
| Authorized Official Name and Position | Sofia Shapiro (OFFICER) |
| Authorized Official Contact | 9737638950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sofia Shapiro, Md, Llc 511 S Orange Ave South Orange NJ 07079-2636 Ph: (973) 763-8950 | Sofia Shapiro, Md, Llc 511 S Orange Ave South Orange NJ 07079-2636 Ph: (973) 763-8950 |
| NPI Number | 1760532147 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760532147 | NPI | - | NPPES |
| 8043701 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA069937 (New Jersey) | Primary |
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