Individual provider · Type 1 NPI

Alexis Chen Boulter

Pediatric Hematology & Oncology Physician · Philadelphia, PA

NPI number 1114488871 Active

Practice location

3401 Civic Center Blvd, Division Of Pediatric Hematology - Oncology
Philadelphia, PA 19104

Call (267) 426-3574 Map

Mailing address

2013 Sansom Street
Philadelphia, PA 19103

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Hematology & Oncology Physician Primary 2080P0207XMT228513 (PA)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1114488871

Alexis Chen Boulter's National Provider Identifier is 1114488871, issued on Mar 26, 2019. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 26, 2023.