MICHAEL BOULOS

LINDEN, NJ
NPI1558471730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00569900)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- MICHAEL BOULOS
350 WEST ST. GEORGE AVENUE
LINDEN, NJ 07036
Phone number: 908-925-6797
Mailing Address
-- MICHAEL BOULOS
16 OWENS RD
OLD BRIDGE, NJ 08857-1862
Phone number: 908-679-6808
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