Provider Demographics
NPI:1821626623
Name:SHOR, ESTHER NETANYA (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:NETANYA
Last Name:SHOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-4002
Mailing Address - Country:US
Mailing Address - Phone:908-906-1267
Mailing Address - Fax:
Practice Address - Street 1:269 FISH POND RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3047
Practice Address - Country:US
Practice Address - Phone:856-863-9999
Practice Address - Fax:856-863-9666
Is Sole Proprietor?:No
Enumeration Date:2020-03-29
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NJ25MA11806100208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program