NPI 1043316565

Mona Boulos, MD

Practitioner Pediatrics Physician Jersey City, NJ

Practice location

Address: 2780 Kennedy Blvd, Jersey City, NJ 07306
Phone: (201) 239-7777
Fax: (201) 239-0070
Mailing address: 3171 Route 9 N Suite 313, Old Bridge, NJ 08857-2690

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 25MA06214600 (NJ)

Other Pediatrics providers in New Jersey →

Registry record

NPI: 1043316565
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2006
Record last updated: 18 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.