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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MINA BOULOS, M.D., D.M.D.

Active Sole Proprietor

DR. MINA BOULOS, M.D., D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in WESTWOOD, New Jersey. NPI 1386177848 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · WESTWOOD, NJ

Registration Details

NPI Number
1386177848
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2017 (9.1557453478656 yrs)
Last Updated
Aug 28, 2024
License
22DI03026500 (NJ)
Sole Proprietor
Yes

Practice Information

Address
260 OLD HOOK RD BLDG SUITE202
WESTWOOD, NJ, 076753123
Browse NJ providers · Browse ZIP 07675
Phone
9788213822
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in WESTWOOD, NJ

Name Credential NPI
JOHN P CHIBBARO DMD 1689776650
DR. SONIA E FRANCIONI-VULAJ D.M.D. 1083709729
DR. JOSHUA Z GENUTH DMD 1295398527
DR. IRENE SHUMAN DDS 1649839762
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.