Search › New Jersey › 208M00000X
Michael Boulos
NPI 1326608365 · on the registry since 2019
Practice
- Address
- 90 Brick Rd Fl 3
Marlton, NJ 08053 - Phone
- (856) 355-6000
- Fax
- (856) 355-6731
- Organisation at this address
- Virtua Hospital Marlton
Lerna Inpatient Services
Critical Care Specialists, Llc
Summit Health-Virtua Inc., Crna
Marlton Anesthesia & Pain Treatment LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 46
Additional practice sites
- 100 Bowman Dr Lowr Level1, Voorhees, NJ
- 175 Madison Ave, Mount Holly, NJ
- 1600 Haddon Ave Fl 6, Camden, NJ
- 218 Sunset Rd Fl 5, Willingboro, NJ
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 208M00000X
- Licence states on file
- NJ, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-15
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 New Jersey