Individual
SHARBEL BOUSTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 HACKENSACK AVE, HACKENSACK, NJ 07601-6328
(732) 802-7512
Mailing address
43 DAISY DR, EGG HARBOR TOWNSHIP, NJ 08234-6119
(201) 937-3574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01105200
NJ
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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