Individual
DR. CHERIF BOUTROS
Active
Individual
DR. CHERIF BOUTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
25MA12203300
NJ
2086X0206X
Surgical Oncology Physician
D0070965
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034615200
—
MD
05
—
0997579
—
NJ
01
—
238612
JOHNS HOPKINS HEALTHCARE
MD
01
—
967368-02
CAREFIRST RENDERING NUMBER
MD
01
—
GROUP PTAN:DQ7486
MEDICARE RAIL ROAD
MD
01
—
P00893238
MEDICARE RAIL ROAD
MD
01
—
Q818-0022
CAREFIRST GROUP
MD
Enumeration date
07/06/2007
Last updated
09/27/2024
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