Individual
PAUL DEVINE BOTTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF ADOLESCENT MEDICINE, PHILADELPHIA, PA 19104
(215) 590-1190
(215) 590-4668
Mailing address
3401 CIVIC CENTER BLVD STE M975, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.140820
IL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MT219847
PA
Other
Enumeration date
06/11/2013
Last updated
08/18/2023
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