Individual
PAUL MICHAEL SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 A STREET, PHILADELPHIA, PA 19134
(215) 427-5000
Mailing address
3601 FRONT STREET, PHILADELPHIA, PA 19134
(215) 427-5000
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
M0273
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD070589L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170113801
—
TX
Enumeration date
04/17/2006
Last updated
01/06/2014
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