Mona S. Boulos, MD

Pediatrics Physician · Appleton, WI

Individual Active NPI

NPI number 1669466579

Practice location

1506 S Oneida St
Appleton, WI 54915-1305
Phone
(920) 730-4950

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NPI record

NPI
1669466579
Entity type
Individual (Type 1)
Enumeration date
September 7, 2005
Last updated
November 30, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 24469 WI

About Dr. Boulos

Mona S. Boulos, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1506 S Oneida St, Appleton, WI 54915-1305. The NPI number 1669466579 was assigned on September 7, 2005 and the record was last updated on November 30, 2011.

Dr. Boulos lists a license in the registry: #24469 (WI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mona S. Boulos, MD?

The NPI number is 1669466579.

What is the phone number of Dr. Boulos?

The phone number listed for the practice location is (920) 730-4950.

Where is Dr. Boulos located?

1506 S Oneida St, Appleton, WI 54915-1305.

What is the taxonomy code for Dr. Boulos?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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