Organization
JOSHUA BOATENG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA BOATENG (DPM)
(215) 242-2200
Entity
Organization
Contact information
Practice address
1400 E MOUNT PLEASANT AVE, PHILADELPHIA, PA 19150-2004
(215) 242-2200
(215) 242-2200
Mailing address
1400 E MOUNT PLEASANT AVE, PHILADELPHIA, PA 19150-2004
(215) 242-2200
(215) 242-2200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002822L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010033570005
—
PA
01
—
119585
BLUE SHIELD
PA
Enumeration date
03/05/2007
Last updated
07/21/2022
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