Provider Demographics
NPI:1326264409
Name:SHAPIRO, MARION D (DO)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:D
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:101 OLD SHORT HILLS RD
Mailing Address - Street 2:SUITE 405
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1000
Mailing Address - Country:US
Mailing Address - Phone:973-738-9300
Mailing Address - Fax:973-736-9328
Practice Address - Street 1:101 OLD SHORT HILLS RD
Practice Address - Street 2:SUITE 405
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1000
Practice Address - Country:US
Practice Address - Phone:973-738-9300
Practice Address - Fax:973-736-9328
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB041014207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine