Individual
JUSTINA BAHAA BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 E SAINT GEORGES AVE, LINDEN, NJ 07036-2936
(908) 925-0704
Mailing address
22 E SAINT GEORGES AVE, LINDEN, NJ 07036-2936
(908) 925-0704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04104900
NJ
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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