Individual
BEN BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
8201 HENRY AVE, APT# B12, PHILADELPHIA, PA 19128-2983
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT198827
PA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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