Organization
NEAL ADAM SHORE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL ADAM SHORE M.D. (PRESIDENT)
(610) 527-4080
Entity
Organization
Contact information
Practice address
1062 E LANCASTER AVE, STE 9, BRYN MAWR, PA 19010-1552
(610) 527-4080
(610) 527-4083
Mailing address
1062 E LANCASTER AVE, STE 9, BRYN MAWR, PA 19010-1552
(610) 527-4080
(610) 527-4083
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD021167E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147863
PA BS HIGHMARK PROVIDER #
PA
Enumeration date
01/21/2006
Last updated
08/02/2010
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