Laura Boulos, DO
Pediatrics, Pediatric Cardiology in Old Bridge, New Jersey
1730695222- Practice location
- 69 County RD 516, Old Bridge, NJ 08857-1416
- Phone
- 732-475-2150
- Fax
- 732-475-2112
- Last updated
- August 2, 2021
Laura Boulos is a Pediatrics, Pediatric Cardiology based in Old Bridge, NJ. Laura Boulos practices in Old Bridge, NJ and has the professional credentials of DO. The NPI Number for Laura Boulos is 1730695222 and holds a License No. 25MB10356200 (NJ). The current practice location address for Laura Boulos is 69 County RD 516, Old Bridge, NJ 08857-1416 and can be reached out via phone at 732-475-2150 and via fax at 732-475-2112.
Provider Profile Details
- NPI Number
- 1730695222
- Provider Name
- Laura Boulos
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 69 County RD 516, Old Bridge, NJ 08857-1416
- Phone Number
- 732-475-2150
- Fax Number
- 732-475-2112
- Primary Taxonomy
- Pediatrics, Pediatric Cardiology · 2080P0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 19, 2017
- Last Update Date
- August 2, 2021
- Certification Date
- August 2, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 69 County RD 516
Old Bridge, NJ 08857-1416 - City
- Old Bridge
- State
- New Jersey
- Zip
- 08857-1416
- Phone Number
- 732-475-2150
- Fax Number
- 732-475-2112
Provider Business Mailing Address Details
- Address
- 69 County RD 516
Old Bridge, NJ 08857-1416 - City
- Old Bridge
- State
- NJ
- Zip
- 08857-1416
- Phone Number
- 732-475-2150
- Fax Number
- 732-475-2112
License Information
- License Number
- 25MB10356200
- License State
- NJ
- Taxonomy
- Pediatrics, Pediatric Cardiology · 2080P0202X · 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 Laura Boulos, DO?
The NPI number of Laura Boulos, DO is 1730695222. It was assigned on December 19, 2017 and is currently active in the NPPES registry.
What is the specialty of Laura Boulos, DO?
Laura Boulos, DO is registered under the primary taxonomy Pediatrics, Pediatric Cardiology (code 2080P0202X), licensed in NJ under license number 25MB10356200.
Where does Laura Boulos, DO practice?
The practice location is 69 County RD 516, Old Bridge, NJ 08857-1416. The office can be reached at 732-475-2150 (phone) or 732-475-2112 (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 1730695222 directly on the NPPES registry website.