MARY ROSE BOUTROS

TINTON FALLS, NJ
NPI1285116822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NJ00851300)
Enumeration Date2018-08-30
Last Update Date2018-08-30
Business Address
MARY ROSE BOUTROS AGNP
22 TOPEKA CT
TINTON FALLS, NJ 07712-7508
Phone number: 732-618-7718
Mailing Address
MARY ROSE BOUTROS AGNP
22 TOPEKA CT
TINTON FALLS, NJ 07712-7508
Phone number: 732-618-7718