Matthew Shore D.O.

NPI 1497803514 - Family Medicine - 207Q00000X

NPI Details
NPI 1497803514
Gender Male
Enumeration Date 01/08/2007
Last Updated 09/21/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
314 YORK RD
JENKINTOWN PA, 19046-3211, US
Phone (215) 884-7620
Fax (215) 884-7896
Business Location
PO BOX 820933
PHILADELPHIA PA, 19182-0933, US
Phone (215) 926-9010
Fax (215) 226-8285
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number OS007633L
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According to our database, Dr. Matthew Shore D.O. NPI is 1497803514, taxonomy code is 207Q00000X and license number is OS007633L, license state is located at Pennsylvania. Matthew Shore D.O. physically located at 314 York Rd, Jenkintown PA, 19046-3211. NPI Number Matthew Shore D.O. has the Individual type.

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1497803514 NPI number is provided on an as is basis without warranty of any kind. 1497803514 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Shore D.O. are for informational purposes only.