Individual
WILLIAM R SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3910 N POWELTON AVE, 2ND FLR, PHILADELPHIA, PA 19104-2640
(215) 662-9008
Mailing address
3910 N POWELTON AVE, 2ND FLR, PHILADELPHIA, PA 19104-2640
(215) 662-9008
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD069187L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010669
—
NJ
05
—
100819152
—
PA
Enumeration date
06/12/2006
Last updated
08/26/2015
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