Individual provider · Type 1 NPI
Noelle Elizabeth Boucher, PA-C
Pediatric Emergency Medicine (Pediatrics) Physician · Philadelphia, PA
NPI number
1285457440
Active
Practice location
3401 Civid Center Blvd
Philadelphia, PA 19104
Mailing address
910 S Front St
Allentown, PA 18103-3383
Other practice locations
- 550 S Goddard Blvd, King Of Prussia, PA 19406-2922 · (215) 590-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician Primary | 2080P0204X | MA066009 (PA) |
Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.
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About NPI 1285457440
Noelle Elizabeth Boucher, PA-C's National Provider Identifier is 1285457440, issued on Nov 6, 2024. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 6, 2024.