Michael Steven Boulos
Hospitalist in Marlton, NJ. Individual provider (NPI-1).
NPI number1326608365
StatusActive
Last updated in NPPESSep 15, 2022
Details
- NPI
- 1326608365
- Entity type
- Individual (NPI-1)
- Name
- Michael Steven Boulos
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2019
- Certification date
- Sep 15, 2022
- Last updated
- Sep 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 25MA11518400 | NJ | Yes |
| 208M00000X | Hospitalist | MD478494 | PA |
Practice location
90 Brick Rd Fl 3Marlton, NJ 08053-2177
Phone 856-355-6000 · Fax 856-355-6731
Mailing address
301 Lippincott Dr Ste 410Marlton, NJ 08053-4197
Phone 856-355-6000 · Fax 856-355-6731
Other practice locations
1600 Haddon Ave Fl 6
Camden, NJ 08103-3101
Camden, NJ 08103-3101
Phone 856-757-3500 · Fax 856-365-4088
175 Madison Ave
Mount Holly, NJ 08060-2099
Mount Holly, NJ 08060-2099
Phone 609-914-6000 · Fax 609-914-6182
100 Bowman Dr Lowr Level1
Voorhees, NJ 08043-9612
Voorhees, NJ 08043-9612
Phone 856-247-3000 · Fax 856-247-2597
218 Sunset Rd Fl 5
Willingboro, NJ 08046-1110
Willingboro, NJ 08046-1110
Phone 609-444-0359 · Fax 609-444-0111
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