Healthcare Provider Details

I. General information

NPI: 1891656377
Provider Name (Legal Business Name): SHOR MEDICAL ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 ROUTE 73 N STE 117
MARLTON NJ
08053-3422
US

IV. Provider business mailing address

525 ROUTE 73 N STE 117
MARLTON NJ
08053-3422
US

V. Phone/Fax

Practice location:
  • Phone: 609-316-7666
  • Fax: 207-209-7545
Mailing address:
  • Phone: 609-316-7666
  • Fax: 207-209-7545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL SHOR
Title or Position: PHYSICIAN
Credential: DO
Phone: 908-930-1661