Tamara Solange Boucher in Philadelphia - Physician Assistant
Tamara Solange Boucher - NPI 1578728275
Tamara Solange Boucher is a Physician Assistant in Philadelphia, Pennsylvania. Tamara Solange Boucher practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tamara Solange Boucher is 1578728275. The last update date is 2022-07-21.
Tamara Solange Boucher's current location address is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157078484 and fax number 2157073946. The mailing address for Tamara Solange Boucher is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara Solange Boucher |
|---|---|
| Address | 2450 W Hunting Park Ave, Philadelphia, Pennsylvania |
| Phone Number | 2157078484 |
| Fax Number | 2157073946 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1578728275 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2450 W Hunting Park Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191291302 |
| Phone Number | 2157078484 |
| Fax Number | 2157073946 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA052120 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tamara Solange Boucher by the Centers for Medicare & Medicaid Services?
The Tamara Solange Boucher has been assigned the NPI (National Provider Identifier) 1578728275 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tamara Solange Boucher?
The Tamara Solange Boucher is physically situated at 2450 W Hunting Park Ave, in the city of Philadelphia, state of PA, with the postal code 191291302.
What is Tamara Solange Boucher's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tamara Solange Boucher is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did Tamara Solange Boucher receive its 1578728275 assignment?
The Tamara Solange Boucher was assigned its 1578728275 on 2008-07-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Tamara Solange Boucher, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tamara Solange Boucher, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.