Search › New Jersey › 207R00000X
Samantha Boustani, MD
NPI 1700413044 · on the registry since 2020
Practice
- Address
- 160 Essex St
Ste 102
Lodi, NJ 07644 - Phone
- (551) 996-8111
- Clinicians at this address
- 6
Additional practice sites
- 4 Hunter St, Lodi, NJ
- 30 Prospect Ave, Hackensack, NJ
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RS0010X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-23
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