Organization
MATTHEWJSHOREDOPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SHORE D.O. (PHYSICIAN)
(215) 663-8600
Entity
Organization
Contact information
Practice address
401 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2202
(215) 663-8600
Mailing address
401 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2202
(215) 663-8600
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OS-007633-L
PA
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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