Search › North Carolina › 207R00000X
Matthew Boulos, D.O
NPI 1316327323 · on the registry since 2015
Practice
- Address
- 11640 Northpark Dr Ste 100
Wake Forest, NC 27587 - Phone
- (919) 366-7759
- Organisation at this address
- Wake Skin Cancer Center, Pa
Raleigh Radiology Wakemed Imaging, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina