Active NPIIndividual providerSole proprietor

Dr. Matthew Boulis, MD

Pediatrics in Cinnaminson, New Jersey

NPI Number1245252394
Practice location
2099 New Albany RD, Cinnaminson, NJ 08077
Fax
856-829-9268
Last updated
July 8, 2007

Matthew Boulis is a Pediatrics based in Cinnaminson, NJ. Matthew Boulis practices in Cinnaminson, NJ and has the professional credentials of MD. The NPI Number for Matthew Boulis is 1245252394 and holds a License No. MA22830 (NJ). The current practice location address for Matthew Boulis is 2099 New Albany RD, Cinnaminson, NJ 08077 and can be reached out via phone at 856-829-5545 and via fax at 856-829-9268.

Provider Profile Details

NPI Number
1245252394
Provider Name
Matthew Boulis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2099 New Albany RD, Cinnaminson, NJ 08077
Phone Number
856-829-5545
Fax Number
856-829-9268
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2099 New Albany RD
Cinnaminson, NJ 08077
Zip
08077
Phone Number
856-829-5545
Fax Number
856-829-9268
Cinnaminson, NJ 08077Get directions →

Provider Business Mailing Address Details

Address
2099 New Albany RD
Cinnaminson, NJ 08077
City
Cinnaminson
State
NJ
Zip
08077
Phone Number
856-829-5545
Fax Number
856-829-9268

License Information

License Number (1)
MA22830
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X · Primary
License Number (2)
MD-007664-E
License State (2)
PA
Taxonomy (2)
Pediatrics · 208000000X

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 Dr. Matthew Boulis, MD?

The NPI number of Dr. Matthew Boulis, MD is 1245252394. It was assigned on July 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Matthew Boulis, MD?

Dr. Matthew Boulis, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number MA22830.

Where does Dr. Matthew Boulis, MD practice?

The practice location is 2099 New Albany RD, Cinnaminson, NJ 08077. The office can be reached at 856-829-5545 (phone) or 856-829-9268 (fax).

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 1245252394 directly on the NPPES registry website.

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