Matthewjshoredopc in Elkins Park - Health Service
Matthewjshoredopc - NPI 1336286996
Matthewjshoredopc is a Health Service in Elkins Park, Pennsylvania. Matthewjshoredopc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Matthewjshoredopc is 1336286996. The last update date is 2020-08-22.
Matthewjshoredopc's current location address is 401 Township Line Rd, Elkins Park, Pennsylvania. You can contact this provider via phone number 2156638600. The mailing address for Matthewjshoredopc is 401 Township Line Rd, Elkins Park, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Matthewjshoredopc |
|---|---|
| Address | 401 Township Line Rd, Elkins Park, Pennsylvania |
| Phone Number | 2156638600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Shore Matthew |
| Credentials | D.O. |
| Telephone Number | 2156638600 |
NPI Number Detail
| NPI Number | 1336286996 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 401 Township Line Rd |
|---|---|
| City | Elkins Park |
| State | Pennsylvania (PA) |
| Post Code | 190272202 |
| Phone Number | 2156638600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | OS-007633-L |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Matthewjshoredopc by the Centers for Medicare & Medicaid Services?
The Matthewjshoredopc has been assigned the NPI (National Provider Identifier) 1336286996 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Matthewjshoredopc?
The Matthewjshoredopc is physically situated at 401 Township Line Rd, in the city of Elkins Park, state of PA, with the postal code 190272202.
What is the Matthewjshoredopc's specialty and taxonomy code?
The Matthewjshoredopc's specialty is Health Service, and the corresponding taxonomy code is 261Qh0100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336286996 to Matthewjshoredopc?
The Centers for Medicare & Medicaid Services assigned the 1336286996 to Matthewjshoredopc on 2007-01-31.
As of what date was the information regarding Matthewjshoredopc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthewjshoredopc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN