National Provider Identifier Database

ALEXIS C BOULTER
Pediatric Hematology-Oncology

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.


Contact Information

ALEXIS C BOULTER
3401 CIVIC CENTER BLVD
DIVISION OF PEDIATRIC HEMATOLOGY - ONCOLOGY
PHILADELPHIA, PA19104
Phone: 267-426-3574
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Hematology-Oncology 2080P0207X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for ALEXIS C BOULTER

NPI Number 1114488871
Credentials
Entity Individual
Enumeration date 03/26/2019
Last updated 06/26/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • PA License #: MT228513
Hospital affiliation n/a

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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