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General NPI Number Information
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NPI Number | 1770690257
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Entity Type | Individual
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Provider Name | AARON LEE SHAPIRO MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1518 SPRUCE ST
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City | PHILA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 215-546-5900
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Fax | 215-546-0530
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Provider Business Mailing Address
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Address Line | 112 DAVID RD
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City | BALA CYNWYD
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State | PA
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Zip | 19004
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Country | US
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Telephone | 610-664-0572
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD050414L
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License Number State | PA
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