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Michael Boulos

NPI 1558471730 · on the registry since 2006

Practice

Address
350 West St. George Avenue
Linden, NJ 07036
Phone
(908) 925-6797

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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