Shapiro, Edith Tennenbaum

Shapiro, Edith Tennenbaum is an sole proprietor health care provider with primary practice located at 200 Engle St Suite 27, Englewood NJ 07631-2440. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as her primary health care specialty. Shapiro, Edith Tennenbaum can be contacted via phone (201) 871-3027.

Contact Information

Primary practice address
200 Engle St Suite 27 Englewood NJ 07631-2440
Fax: (201) 569-7264
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 25MA02257400 New Jersey

Profile Details

NPI number 1588739148
LBN Legal business name Shapiro, Edith Tennenbaum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588739148 NPPES
New Jersey Other 050643 VALUE OPTIONS
New Jersey Other 229708 VALUE OPTIONS
New Jersey Other 0015271 VALUE OPTIONS

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