Provider Demographics
NPI:1154318277
Name:SHOR-CONROY, ROBYN MIA (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:MIA
Last Name:SHOR-CONROY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 W SPROUL RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2033
Mailing Address - Country:US
Mailing Address - Phone:610-338-1800
Mailing Address - Fax:610-338-1809
Practice Address - Street 1:100 W SPROUL ROAD
Practice Address - Street 2:SUITE 120
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-1740
Practice Address - Country:US
Practice Address - Phone:610-338-1800
Practice Address - Fax:610-338-1809
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2012-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS009580L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2201032OtherUNITED HEALTHCARE
DEPA 1311OtherBLUE SHIELD DELAWARE
PA83840000OtherCIGNA
PAP0021899OtherPALMETTO GBA
PA2168090OtherAETNA
PA259354OtherMAMSI
PA3Y3407OtherHEALTHNET
PAG666844OtherELDER CARE
PA1328925OtherMAILHANDLERS
PA0773629000OtherKEYSTONE
PA787975OtherBLUE SHIELD
PAG87975OtherAMERIHEALTH ADMINISTRATOR
PAP2799391OtherOXFORD
PAPA3532OtherQUALMED
PA2066531OtherFIRST HEALTH
PA2168090OtherAETNA
PA008151MFYMedicare PIN