Robin Leslie Shore DO

NPI 1689623670 - Emergency Medicine - 207P00000X

NPI Details
NPI 1689623670
Gender Female
Enumeration Date 05/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
223 N VAN DIEN AVENUE
THE VALLEY HOSPITAL
RIDGEWOOD NJ, 07450, US
Phone (201) 444-2019
Fax (201) 444-3604
Business Location
PO BOX 1173
VALLEY EMERGENCY ROOM ASSOCIATES PA
RIDGEWOOD NJ, 07451, US
Phone (800) 777-2455
Fax (610) 617-6280
Toxanomy
Taxonomy Code 207P00000X
License State New Jersey
License Number 25MB06022000
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According to our database, Robin Leslie Shore DO NPI is 1689623670, taxonomy code is 207P00000X and license number is 25MB06022000, license state is located at New Jersey. Robin Leslie Shore DO physically located at 223 N Van Dien Avenue, Ridgewood NJ, 07450. NPI Number Robin Leslie Shore DO has the Individual type.

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1689623670 NPI number is provided on an as is basis without warranty of any kind. 1689623670 is maintained by the National Plan & Provider Enumeration System. The contents of Robin Leslie Shore DO are for informational purposes only.