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Individual

JUSTIN DAVID BOER

Active
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Individual

JUSTIN DAVID BOER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD464968
PA
208M00000X
Hospitalist Physician
Primary
MD464968
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD464968
PA MEDICAL LICENSE
PA
Enumeration date
10/11/2016
Last updated
06/08/2026
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