Individual
DR. JOSHUA YAW BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM.
Contact information
Practice address
1400 E MOUNT PLEASANT AVE, PHILADELPHIA, PA 19150-2004
(215) 242-2200
(215) 242-2200
Mailing address
PO BOX 49047, PHILADELPHIA, PA 19141-9047
(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
—
001003357 0005
—
PA
Enumeration date
09/28/2006
Last updated
07/08/2007
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