Individual
BENJAMIN SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PARAMOUNT BLVD, ORWIGSBURG, PA 17961-2202
(484) 658-5758
(484) 526-4091
Mailing address
100 PARAMOUNT BLVD, ORWIGSBURG, PA 17961-2202
(484) 658-5758
(484) 526-4091
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD476511
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
08/06/2026
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