Active NPIIndividual provider

Michael Boulos

Physical Therapist in Linden, New Jersey

NPI Number1558471730
Practice location
350 West St. George Avenue, Linden, NJ 07036
Fax
—
Last updated
July 8, 2007

Michael Boulos is a Physical Therapist based in Linden, NJ. Michael Boulos practices in Linden, NJ. The NPI Number for Michael Boulos is 1558471730 and holds a License No. 40QA00569900 (NJ). The current practice location address for Michael Boulos is 350 West St. George Avenue, Linden, NJ 07036 and can be reached out via phone at 908-925-6797.

Provider Profile Details

NPI Number
1558471730
Provider Name
Michael Boulos
Provider Entity Type
Individual
Gender
Male
Address
350 West St. George Avenue, Linden, NJ 07036
Phone Number
908-925-6797
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 West St. George Avenue
Linden, NJ 07036
City
Linden
Zip
07036
Phone Number
908-925-6797
Linden, NJ 07036Get directions →

Provider Business Mailing Address Details

Address
16 Owens RD
Old Bridge, NJ 08857-1862
City
Old Bridge
State
NJ
Zip
08857-1862
Phone Number
908-679-6808

License Information

License Number
40QA00569900
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Michael Boulos?

The NPI number of Michael Boulos is 1558471730. It was assigned on August 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael Boulos?

Michael Boulos is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00569900.

Where does Michael Boulos practice?

The practice location is 350 West St. George Avenue, Linden, NJ 07036. The office can be reached at 908-925-6797 (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 1558471730 directly on the NPPES registry website.

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