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Dr. Regine Boutin, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1528562915

Regine Boutin is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Regine Boutin practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Regine Boutin is 1528562915 and holds a License No. (New Jersey).

The current practice location address for Regine Boutin is 150 Bergen Street, Newark, NJ and can be reached out via phone at 973-972-6056.

Location: 150 Bergen Street, Newark, NJ, 07101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528562915
Provider Name
Regine Boutin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
150 Bergen Street, Newark, NJ, 07101
Phone Number
973-972-6056
Fax Number
Provider Enumeration Date
03/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Bergen Street
City
Newark
State
New Jersey
Zip
07101
Phone Number
973-972-6056
Fax Number
person
Provider Business Mailing Address Details
Address
150 Bergen Street
City
Newark
State
New Jersey
Zip
07101
Phone Number
973-972-6056
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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