MEDICARE: ADAM MARC 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	207YS0123X	Facial Plastic Surgery Physician	1208	VI

General Provider Information

NPI Number	:	1780688606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM MARC SHAPIRO M.D.

Provider Business Mailing Address
First Line	:	9149 ESTATE THOMAS STE 308
Second Line	:
City	:	ST THOMAS
State	:	VI
Zip	:	00802-3132
Country	:	US
Telephone Number	:	340-774-8881
Fax Number	:

Provider Business Practice Location Address
First Line	:	9149 ESTATE THOMAS
Second Line	:	STE 308
City	:	ST THOMAS
State	:	VI
Zip	:	00802-2615
Country	:	US
Telephone Number	:	340-774-8881
Fax Number	:	340-776-9807

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	01/28/2025

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