Individual
MRS. CHRISTINA YOSRY BOULUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 POMPTON AVE, CEDAR GROVE, NJ 07009-1155
(973) 237-4061
Mailing address
1041 POMPTON AVE, CEDAR GROVE, NJ 07009-1155
(973) 247-4061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03982600
NJ
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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