Individual
ERIC SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR STREET, SUITE 923, HARTFORD, CT 06106
(860) 547-1876
(860) 520-1379
Mailing address
P.O. BOX 587, ROCKY HILL, CT 06067-0587
(860) 258-3480
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
025532
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125532200
—
CT
Enumeration date
09/12/2006
Last updated
12/07/2010
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