IndividualActive
Alexis Boulter
NPI 1114488871 · Pediatric Hematology & Oncology Physician · Philadelphia, PA
Provider details
- NPI number
- 1114488871
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
3401 Civic Center Blvd
Division of Pediatric Hematology - Oncology
Philadelphia, PA 19104
Phone: (267) 426-3574
Approximate (ZIP-level) locationGet directions
Mailing address
2013 Sansom Street
Philadelphia, PA 19103
Registry dates
- Enumerated
- 2019-03-26
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.