Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Chen Boulter

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114488871

Alexis Chen Boulter is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3401 Civic Center Blvd Division Of Pediatric Hematology - Oncology
Philadelphia, PA 19104
Phone: (267) 426-3574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence MT228513 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114488871
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

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