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

DR. JOHN BOULOS, DPM

Active Sole Proprietor

DR. JOHN BOULOS, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in EAST BRUNSWICK, New Jersey. NPI 1790029072 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · EAST BRUNSWICK, NJ

Registration Details

NPI Number
1790029072
Provider Type
Individual
Gender
Male
NPI Issued
Nov 26, 2012 (13.758516731404 yrs)
Last Updated
Apr 26, 2024
License
25MD00315100 (NJ)
Sole Proprietor
Yes

Practice Information

Address
610 CRANBURY RD STE B
EAST BRUNSWICK, NJ, 088164030
Browse NJ providers · Browse ZIP 08816
Phone
7329792035
Fax
7329556217
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in EAST BRUNSWICK, NJ

Name Credential NPI
DR. WARREN A PASTERNACK D.P.M. 1699774620
DR. BORIS RAGINSKY DPM 1457352502
THOMAS J GIBBONS DPM 1154315703
DR. MARK JEFFREY BERGER D.P.M. 1891861589
LYNN MOTASIS DPM 1023250180
DR. ANUP PATEL DPM 1811287527
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.