Individual
MR. EDWARD BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
506 LENOX AVE, MLK-PAVILION, 12 TH FLOOR, SURGERY DEPARTMENT, NEW YORK, NY 10037-1802
(212) 939-4680
Mailing address
375 SELMA ST, PHILADELPHIA, PA 19116-2719
(646) 542-9177
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
010207
NY
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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