Boutros, Mary Rose

Boutros, Mary Rose is an individual health care provider with primary practice located at 22 Topeka Ct , Tinton Falls NJ 07712-7508. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Boutros, Mary Rose can be contacted via phone (732) 618-7718.

Contact Information

Primary practice address
22 Topeka Ct Tinton Falls NJ 07712-7508
Phone: (732) 618-7718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00851300 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00851300 New Jersey

Profile Details

NPI number 1285116822
LBN Legal business name Boutros, Mary Rose
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2018
Last updated Apr 21st, 2026 - about 6 months 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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