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Samantha Elias Boustani, MD
Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey
NPI 1700413044

Samantha Elias Boustani is a Student in an Organized Health Care Education/Training Program based in Egg Harbor Township, NJ. Samantha Elias Boustani practices in Hackensack, NJ and has the professional credentials of MD. The NPI Number for Samantha Elias Boustani is 1700413044 and holds a License No. (New Jersey).

The current practice location address for Samantha Elias Boustani is 30 Prospect Ave, Hackensack, NJ and can be reached out via phone at 551-996-2000.

Location: 30 Prospect Ave, Hackensack, NJ, 08234-6119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700413044
Provider Name
Samantha Elias Boustani
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
30 Prospect Ave, Hackensack, NJ, 08234-6119
Phone Number
551-996-2000
Fax Number
Provider Enumeration Date
03/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
551-996-2000
Fax Number
person
Provider Business Mailing Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
551-996-2000
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.
()
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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