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1700413044
SAMANTHA E BOUSTANI
LODI, NJ
NPI
1700413044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RS0010X Internal Medicine, Sports Medicine
(Licence: NJ 25MA12210800)
Enumeration Date
2020-03-26
Last Update Date
2024-10-23
Business Address
SAMANTHA E BOUSTANI MD
4 HUNTER ST STE 203
LODI, NJ 07644-1608
Phone number: 551-996-9100
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Mailing Address
SAMANTHA E BOUSTANI MD
331 NEWMAN SPRINGS RD BLDG 2, STE 220
RED BANK, NJ 07701-5688
Phone number:
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