Active NPIIndividual provider

Justina B Boulos

Pharmacist in Linden, New Jersey

NPI Number1215540620
Practice location
22 E Saint Georges Ave, Linden, NJ 07036-2936
Fax
—
Last updated
August 25, 2020

Justina Bahaa Boulos is a Pharmacist based in Linden, NJ. Justina Bahaa Boulos practices in Linden, NJ. The NPI Number for Justina Bahaa Boulos is 1215540620 and holds a License No. 28RI04104900 (NJ). The current practice location address for Justina Bahaa Boulos is 22 E Saint Georges Ave, Linden, NJ 07036-2936 and can be reached out via phone at 908-925-0704.

Provider Profile Details

NPI Number
1215540620
Provider Name
Justina Bahaa Boulos
Provider Entity Type
Individual
Gender
Female
Address
22 E Saint Georges Ave, Linden, NJ 07036-2936
Phone Number
908-925-0704
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
August 25, 2020
Last Update Date
August 25, 2020
Certification Date
August 25, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 E Saint Georges Ave
Linden, NJ 07036-2936
City
Linden
Zip
07036-2936
Phone Number
908-925-0704
Linden, NJ 07036Get directions →

Provider Business Mailing Address Details

Address
22 E Saint Georges Ave
Linden, NJ 07036-2936
City
Linden
State
NJ
Zip
07036-2936
Phone Number
908-925-0704

License Information

License Number
28RI04104900
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Justina B Boulos?

The NPI number of Justina B Boulos is 1215540620. It was assigned on August 25, 2020 and is currently active in the NPPES registry.

What is the specialty of Justina B Boulos?

Justina B Boulos is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI04104900.

Where does Justina B Boulos practice?

The practice location is 22 E Saint Georges Ave, Linden, NJ 07036-2936. The office can be reached at 908-925-0704 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215540620 directly on the NPPES registry website.

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