Individual
DR. CONOR PATRICK SHORTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB, BCH, MSC, FRCR
Contact information
Practice address
132 S 10TH ST, THOMAS JEFFERSON UNIVERSITY HOSPITAL, ROOM 1091, PHILADELPHIA, PA 19107-5244
(215) 955-5445
(215) 923-1562
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MT189794
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201995
—
NJ
05
—
1023226140001
—
PA
Enumeration date
06/04/2007
Last updated
09/16/2009
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