DR. Ashley Laico Boulos, O.D.

NPI #1215394945 in Clifton, New Jersey

Provider Information

NPI Number: 1215394945
Entity Type: Individual
Name: DR. Ashley Laico Boulos, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 26, 2016
Last Updated: Jan 26, 2016

Practice Location

Address: 1430 MAIN AVE
City: Clifton
State: New Jersey
ZIP Code: 07011-2146
Phone: (800) 530-2730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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