Boulos, Mona

Boulos, Mona is an individual health care provider with primary practice located at 2780 Kennedy Blvd , Jersey City NJ 07306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boulos, Mona can be contacted via phone (201) 239-7777.

Contact Information

Primary practice address
2780 Kennedy Blvd Jersey City NJ 07306
Phone: (201) 239-7777
Fax: (201) 239-0070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA06214600 New Jersey

Profile Details

NPI number 1043316565
LBN Legal business name Boulos, Mona
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jan 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043316565 NPPES
New Jersey MEDICAID 7186703

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