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NOELLE ELIZABETH BOUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3401 CIVID CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
910 S FRONT ST, ALLENTOWN, PA 18103-3383
(610) 533-6715

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MA066009
PA

Other

Enumeration date
11/06/2024
Last updated
11/06/2024
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