Dr. Mina Boulos, MD, DMD
Dentist, Oral and Maxillofacial Surgery in Westwood, New Jersey
1386177848- Practice location
- 260 Old Hook RD Bldg Suite202, Westwood, NJ 07675-3123
- Phone
- 978-821-3822
- Fax
- —
- Last updated
- August 28, 2024
Mina Boulos is a Dentist, Oral and Maxillofacial Surgery based in Westwood, NJ. Mina Boulos practices in Westwood, NJ and has the professional credentials of MD, DMD. The NPI Number for Mina Boulos is 1386177848 and holds a License No. 22DI03026500 (NJ). The current practice location address for Mina Boulos is 260 Old Hook RD Bldg Suite202, Westwood, NJ 07675-3123 and can be reached out via phone at 978-821-3822.
Provider Profile Details
- NPI Number
- 1386177848
- Provider Name
- Mina Boulos
- Credential
- MD, DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 260 Old Hook RD Bldg Suite202, Westwood, NJ 07675-3123
- Phone Number
- 978-821-3822
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 11, 2017
- Last Update Date
- August 28, 2024
- Certification Date
- August 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 260 Old Hook RD Bldg Suite202
Westwood, NJ 07675-3123 - City
- Westwood
- State
- New Jersey
- Zip
- 07675-3123
- Phone Number
- 978-821-3822
Provider Business Mailing Address Details
- Address
- 320 Adolphus Ave Apt 1411
Cliffside Park, NJ 07010-2856 - City
- Cliffside Park
- State
- NJ
- Zip
- 07010-2856
- Phone Number
- 978-821-3822
License Information
- License Number
- 22DI03026500
- License State
- NJ
- Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Mina Boulos, MD, DMD?
The NPI number of Dr. Mina Boulos, MD, DMD is 1386177848. It was assigned on April 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Mina Boulos, MD, DMD?
Dr. Mina Boulos, MD, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22DI03026500.
Where does Dr. Mina Boulos, MD, DMD practice?
The practice location is 260 Old Hook RD Bldg Suite202, Westwood, NJ 07675-3123. The office can be reached at 978-821-3822 (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 1386177848 directly on the NPPES registry website.