Provider Demographics
NPI:1467496380
Name:SHOEMAKER, RICHARD CARL (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:CARL
Last Name:SHOEMAKER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 41555
Mailing Address - Street 2:CHESTNUT HILL EMERGENCY ASSOCIATES LTD
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101
Mailing Address - Country:US
Mailing Address - Phone:800-777-2455
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:8835 GERMANTOWN AVE
Practice Address - Street 2:CHESTNUST HILL HOSPITAL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118
Practice Address - Country:US
Practice Address - Phone:215-248-8523
Practice Address - Fax:215-248-8275
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD428552207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine