Individual
DR. SPENCER HAMILTON SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8000
Mailing address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT225431
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
663813409
PASSPORT NUMBER
—
Enumeration date
03/29/2021
Last updated
04/21/2022
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