# BOULEVARD MEDICAL OFFICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538225230
- **Authorized official:** ALAN ASTALOS (PRESIDENT)
- **Authorized official phone:** (201) 437-0250

## Contact information

- **Practice address:** 801 KENNEDY BLVD, BAYONNE, NJ 07002
- **Practice address phone:** (201) 437-0250
- **Practice address fax:** (201) 436-4191
- **Mailing address:** 801 KENNEDY BLVD, BAYONNE, NJ 07002
- **Mailing address phone:** (201) 437-0250
- **Mailing address fax:** (201) 436-4191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 09/11/2025
