Paul Michael Shore
MD | Pediatric Critical Care Medicine | Male
Paul Michael Shore, MD is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Paul Michael Shore is
3601 A Street, Philadelphia, Pennsylvania - 19134. He can be contacted on phone at
215-427-5000.
Paul Michael Shore is a sole proprietor of his business.
NPI number (Unique professional ID) for Paul Michael Shore is
1699739599 which was assigned by NPPES on 17 Apr, 2006 and it was last updated on 06 Jan, 2014.
Paul Michael Shore license number is
MD070589L for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Pennsylvania.
Paul Michael Shore is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Paul Michael Shore basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Paul Michael Shore |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Paul Michael Shore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3601 A Street
Philadelphia, PA, 19134
United States |
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| Phone Number : | 215-427-5000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699739599 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Apr, 2006 |
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| Last Updated On : | 06 Jan, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul Michael Shore are as mentioned. Primary taxonomy code for Paul Michael Shore, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | M0273 | TX |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | MD070589L | PA |
Legacy Identifiers:
Other legacy medical identifiers of Paul Michael Shore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 170113801 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3601 Front Street
Philadelphia, PA, 19134
United States |
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| Phone Number : | 215-427-5000 |
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Business Location:
Patients can refer following map for directions to
Paul Michael Shore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.