Individual
MATTHEW BRENDAN BOAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 PEARSON LN, HAVERTOWN, PA 19083-3218
(610) 446-7458
Mailing address
13 PEARSON LN, HAVERTOWN, PA 19083-3218
(610) 446-7458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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