ALEXANDRE REGINALD BOULOS

PROVIDENCE, RI
NPI1306338397
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: RI  MD19055)
Enumeration Date2018-06-05
Last Update Date2023-06-16
Business Address
Dr. ALEXANDRE REGINALD BOULOS MD
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905-3248
Phone number: 401-457-1500
Mailing Address
Dr. ALEXANDRE REGINALD BOULOS MD
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914-5375
Phone number: