Individual
DR. BETH A. SHORTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1011 N ELMER AVE, SAYRE, PA 18840-1832
(570) 887-3070
(570) 887-3382
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD038026E
PA
208D00000X
General Practice Physician
MD038026E
PA
208M00000X
Hospitalist Physician
MD038026E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001243228
—
PA
05
—
3607704
—
NJ
05
—
4138252
—
MD
Enumeration date
11/28/2007
Last updated
02/08/2017
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