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Individual

MR. CARL BOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24, CLEVELAND, OH 44195-0001
(216) 444-2200

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MI

Other

Enumeration date
05/13/2019
Last updated
05/17/2023
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