MEDICARE: MARCELLE J SHAPIRO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085B0100X	Body Imaging Physician	MD026482E	PA
2	2085N0700X	Neuroradiology Physician	MD026482E	PA
3	2085N0904X	Nuclear Radiology Physician	MD026482E	PA
4	2085R0202X	Diagnostic Radiology Physician	MD026482E	PA
5	2085R0204X	Vascular & Interventional Radiology Physician	MD026482E	PA
6	2085U0001X	Diagnostic Ultrasound Physician	MD026482E	PA

General Provider Information

NPI Number	:	1730123670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCELLE J SHAPIRO M.D.

Provider Business Mailing Address
First Line	:	1001 BRIGGS RD
Second Line	:	SUITE 210
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-4100
Country	:	US
Telephone Number	:	856-231-4774
Fax Number	:	856-231-9699

Provider Business Practice Location Address
First Line	:	7600 CENTRAL AVE
Second Line	:	RADIOLOGY DEPARTMENT
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2442
Country	:	US
Telephone Number	:	215-728-2162
Fax Number	:	215-728-4883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	09/11/2025

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