Mona S Boulos, MD

NPI #1669466579 in Appleton, Wisconsin

Provider Information

NPI Number: 1669466579
Entity Type: Individual
Name: Mona S Boulos, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Sep 7, 2005
Last Updated: Nov 30, 2011

Practice Location

Address: 1506 S ONEIDA ST
City: Appleton
State: Wisconsin
ZIP Code: 54915-1305
Phone: (920) 730-4950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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