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

Mark Boudewijns

Individual provider Pediatric Surgery Physician · NPI 1134806268

Mark Boudewijns is a Pediatric Surgery Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023

Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-2730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence LT000966 (PA)

Record details

NPI number1134806268
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2023
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing address3401 Civic Center Blvd, Philadelphia, PA 19104-4319

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