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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMARA SOLANGE BOUCHER, PA-C

Active

TAMARA SOLANGE BOUCHER, PA-C is a Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1578728275 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PHILADELPHIA, PA

Registration Details

NPI Number
1578728275
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2008 (18.052379936564 yrs)
Last Updated
Jul 21, 2022
License
MA052120 (PA)

Practice Information

Address
3509 N BROAD ST
PHILADELPHIA, PA, 191404105
Browse PA providers · Browse ZIP 19140
Phone
2157078484
Fax
2157073946
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PHILADELPHIA, PA

Name Credential NPI
WILLIAM J GLASSMIRE PAC 1154329944
JOHN M. CAVENAGH PA 1649271313
CHRISTINA L CHAMBLEY PA-C 1568463073
BIANCA IVETTE SANTIAGO PA-C 1952385197
SANDRA Q MCCARTHY PA C 1770569311
PAUL D BRADFORD PA-C 1588641435
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.