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Dr. Dany Boulos, MD
Family Medicine Physician in Philadelphia, Pennsylvania
NPI 1780830703

Dany Boulos is a Family Medicine Physician based in Philadelphia, PA. Dany Boulos practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Dany Boulos is 1780830703 and holds a License No. 036141752 (Pennsylvania).

The current practice location address for Dany Boulos is 11000 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-677-1475 and via fax at 215-677-3082.

Location: 11000 Roosevelt Blvd, Philadelphia, PA, 19182-0933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780830703
Provider Name
Dany Boulos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11000 Roosevelt Blvd, Philadelphia, PA, 19182-0933
Phone Number
215-677-1475
Fax Number
215-677-3082
Provider Enumeration Date
08/11/2008
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000718849 01 IN ANTHEM
201024290 05 IN
036141752 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
11000 Roosevelt Blvd
City
Philadelphia
State
Pennsylvania
Zip
19116-3961
Phone Number
215-677-1475
Fax Number
215-677-3082
person
Provider Business Mailing Address Details
Address
11000 Roosevelt Blvd
City
Philadelphia
State
Pennsylvania
Zip
19116-3961
Phone Number
215-677-1475
Fax Number
215-677-3082
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
MD453720 (Pennsylvania)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036141752 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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