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Individual

BRANDON MATTHEW SHORE

Active
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Individual

BRANDON MATTHEW SHORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
84122
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
261222
NC

Other

Enumeration date
04/24/2020
Last updated
08/19/2026
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