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

Matthew Brendan Boas Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124592605

Matthew Brendan Boas Jr. is a Student in an Organized Health Care Education/Training Program in Havertown, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

13 Pearson Ln
Havertown, PA 19083-3218
Phone: (610) 446-7458
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124592605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJanuary 17, 2019

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