Individual
DAVID SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 SOUTH ST, CONCORD, NH 03301-2834
(603) 219-6473
Mailing address
130 SOUTH ST, CONCORD, NH 03301-2834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1456
NH
Other
Enumeration date
11/13/2018
Last updated
03/19/2019
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