Mona Boulos in Old Bridge - Pediatrics

Mona Boulos - NPI 1043316565

Mona Boulos is a Pediatrics in Old Bridge, New Jersey. Mona Boulos practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mona Boulos is 1043316565. The last update date is 2012-01-18.

Mona Boulos's current location address is 3171 Route 9 N, Old Bridge, New Jersey. You can contact this provider via phone number 2012397777 and fax number 2012390070. The mailing address for Mona Boulos is 3171 Route 9 N, Old Bridge, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Mona Boulos
Address 3171 Route 9 N, Old Bridge, New Jersey
Phone Number 2012397777
Fax Number 2012390070
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043316565
Provider Enumeration Date 2006-09-15
Last Updated Date 2012-01-18

Provider Mailing Address Detail

Address 3171 Route 9 N
City Old Bridge
State New Jersey (NJ)
Post Code 88572690
Phone Number 2012397777
Fax Number 2012390070

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 25MA06214600
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7186703 NJ --

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FAQs about Mona Boulos

What is the unique identification code assigned to Mona Boulos by the Centers for Medicare & Medicaid Services?

The Mona Boulos has been issued the NPI (National Provider Identifier) 1043316565. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mona Boulos's facilities are geographically located?

The facilities of Mona Boulos are physically situated at the following location: 3171 Route 9 N, Old Bridge, NJ, 88572690.

What is Mona Boulos's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mona Boulos's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date was the 1043316565 assigned to Mona Boulos?

The Mona Boulos was issued its 1043316565 on 2006-09-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Mona Boulos last refreshed?

The information related to the Mona Boulos, including its address, specialty, and other relevant details, was last updated on 2012-01-18.

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