Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA BOULOS, DO
ActiveLAURA BOULOS, DO is a Pediatric Cardiology healthcare provider located in OLD BRIDGE, New Jersey. NPI 1730695222 is currently active in the NPPES registry. Verify at CMS.
Pediatric Cardiology · OLD BRIDGE, NJ
Registration Details
- NPI Number
- 1730695222
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2017 (8.676407729626 yrs)
- Last Updated
- Aug 2, 2021
- License
-
25MB10356200 (NJ)
Practice Information
- Address
-
69 COUNTY RD 516OLD BRIDGE, NJ, 088571416Browse NJ providers · Browse ZIP 08857
- Phone
- 7324752150
- Fax
- 7324752112
- Primary Specialty
-
Pediatric Cardiology
2080P0202X
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.