Individual provider · Type 1 NPI

Oliver Jacob Shore, MD

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

NPI number 1932849700 Active

Practice location

1842 Beacon St Ste 402
Brookline, MA 02445-1922

Call (617) 987-4455 Map

Fax (617) 752-6812

Other practice locations

  • 330 Brookline Ave # RABB-2, Boston, MA 02215-5400 · (617) 667-7000

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X1025311 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000X293497 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

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About NPI 1932849700

Oliver Jacob Shore, MD's National Provider Identifier is 1932849700, issued on Mar 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brookline, MA. The record was last updated on Feb 17, 2026.