Robert Shore in Phila - Internal Medicine

Robert Shore - NPI 1013020304

Robert Shore is a Internal Medicine in Phila, Pennsylvania. Robert Shore practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Robert Shore is 1013020304. The last update date is 2012-10-10.

Robert Shore's current location address is 7602 Central Ave, Phila, Pennsylvania. You can contact this provider via phone number 2159692900 and fax number 2159691856. The mailing address for Robert Shore is 7602 Central Ave, Phila, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Shore
Address 7602 Central Ave, Phila, Pennsylvania
Phone Number 2159692900
Fax Number 2159691856
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1013020304
Provider Enumeration Date 2006-08-17
Last Updated Date 2012-10-10

Provider Mailing Address Detail

Address 7602 Central Ave
City Phila
State Pennsylvania (PA)
Post Code 191112443
Phone Number 2159692900
Fax Number 2159691856

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD028196E
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
45926000 BS
497647 AETNA
9477950001 PA --

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FAQs about Robert Shore

What is the Robert Shore's 1013020304?

The Robert Shore's NPI (National Provider Identifier) Number is 1013020304. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Robert Shore's facilities are situated?

The facilities of Robert Shore are physically located at the following address: 7602 Central Ave, Phila, PA, 191112443.

What is the Robert Shore's area of specialization and corresponding taxonomy classification?

The Robert Shore's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Robert Shore receive its 1013020304 assignment from the Centers for Medicare & Medicaid Services?

The Robert Shore was assigned its 1013020304 by the Centers for Medicare & Medicaid Services on 2006-08-17.

As of what date were the details pertaining to Robert Shore last refreshed?

The information related to the Robert Shore, including its address, specialty, and other relevant details, was last updated on 2012-10-10.

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