Individual
BROOKE BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF GASTROENTEROLOGY, HEPATOLOGY, AND NUTRITION, PHILADELPHIA, PA 19104
(215) 590-3247
Mailing address
1823 SPRUCE ST APT 2R, PHILADELPHIA, PA 19103-5811
(216) 789-4687
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12506844
IL
2080P0206X
Pediatric Gastroenterology Physician
Primary
MT217771
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
06/26/2019
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