Oliver Jacob Shore, MD Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Brookline, MA

NPI

1932849700

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

License number

293497 (MA)

Sex

Male

Sole proprietor

Yes

Enumerated

2022-03-30

Last updated

2026-02-17