# DR. ALEXANDER BOULOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568923712
- **Gender:** Man
- **Credential:** MD, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 323286 | NY | — |
| 208D00000X | General Practice Physician | ME174086 | FL | Yes |

## Other

- **Enumeration date:** 03/29/2019
- **Last updated:** 07/08/2025