| Neal Adam Shore Md Llc | |
|
1062 E Lancaster Ave Ste 9 Bryn Mawr PA 19010-1552 | |
| (610) 527-4080 | |
| (610) 527-4083 |
| Full Name | Neal Adam Shore Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1062 E Lancaster Ave, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Neal Adam Shore (PRESIDENT) |
| Authorized Official Contact | 6105274080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neal Adam Shore Md Llc 1062 E Lancaster Ave Ste 9 Bryn Mawr PA 19010-1552 Ph: (610) 527-4080 | Neal Adam Shore Md Llc 1062 E Lancaster Ave Ste 9 Bryn Mawr PA 19010-1552 Ph: (610) 527-4080 |
| NPI Number | 1265412423 |
|---|---|
| Provider Enumeration Date | 01/21/2006 |
| Last Update Date | 08/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265412423 | NPI | - | NPPES |
| 147863 | Other | PA | PA BS HIGHMARK PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD021167E (Pennsylvania) | Primary |
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