Individual
DR. JOHN BOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
610 CRANBURY RD STE B, EAST BRUNSWICK, NJ 08816-4030
(732) 979-2035
(732) 955-6217
Mailing address
610 CRANBURY RD STE B, EAST BRUNSWICK, NJ 08816-4030
(732) 979-2035
(732) 955-6217
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00315100
NJ
Other
Enumeration date
11/26/2012
Last updated
04/26/2024
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