Individual
ALEXIS C BOICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111
(215) 214-3943
Mailing address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 214-3943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055290
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609153444
—
PA
Enumeration date
11/08/2011
Last updated
07/18/2018
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