Provider Demographics
NPI:1548263544
Name:SCHORR, ALAN BRUCE (DO)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:BRUCE
Last Name:SCHORR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 MIDDLETOWN BLVD
Mailing Address - Street 2:STE 710
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1845
Mailing Address - Country:US
Mailing Address - Phone:215-750-1691
Mailing Address - Fax:215-750-1136
Practice Address - Street 1:380 MIDDLETOWN BLVD
Practice Address - Street 2:STE 710
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1845
Practice Address - Country:US
Practice Address - Phone:215-750-1691
Practice Address - Fax:215-750-1136
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2008-01-29
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-20
Provider Licenses
StateLicense IDTaxonomies
PAOS005007L207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA110230678OtherPALEMETTO GBA (RRMEDICARE
PA132477Medicare ID - Type Unspecified
PA110230678OtherPALEMETTO GBA (RRMEDICARE