Individual
DR. ELISABETH BOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3459 5TH AVE, NW 628 UPMC, PITTSBURGH, PA 15213-3236
(412) 692-2210
Mailing address
3459 5TH AVE, NW 628 UPMC, PITTSBURGH, PA 15213-3236
(412) 692-2210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2011
Last updated
09/20/2017
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