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Contact Information

NOELLE E BOUCHER, PA-C
3401 CIVID CENTER BLVD
PHILADELPHIA, PA19104
 Phone: 215-590-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NOELLE E BOUCHER · (Female)

NPI # 1285457440
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/06/2024
Last updated 11/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # MA066009
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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