Individual
DR. JEREMY M SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ORTHOPEDIC DR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Mailing address
1 ORTHOPEDIC DR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
206215
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011140
—
MA
01
—
419201
TUFTS
MA
01
—
J26914
BCBS
MA
Enumeration date
01/04/2006
Last updated
11/20/2009
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