Samantha E Boustani, MD

NPI #1700413044 in Lodi, New Jersey

Provider Information

NPI Number: 1700413044
Entity Type: Individual
Name: Samantha E Boustani, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Mar 26, 2020
Last Updated: Jan 23, 2026

Practice Location

Address: 160 ESSEX ST
Address 2: STE 102
City: Lodi
State: New Jersey
ZIP Code: 07644-2709
Phone: (551) 996-8111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Sports Medicine — Sports Medicine	207RS0010X

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