DR. PAUL ADLY BOULOS (NPI# 1780095737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780095737 |
| Entity Type | Individual |
| Full Name | DR. PAUL ADLY BOULOS |
| Credential | D.O. |
| Practice Address |
641 Croyden Dr Cherry Hill NJ 08003-1444 |
| Practice Telephone | 7326737071 |
| Mailing Telephone | 7326737071 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083620942 | Paul T Boulos | Neurological Surgery | 774 Christiana Rd, Ste 202, Newark, DE 19713-4221 | 2006-07-31 |
| Street Address |
641 CROYDEN DR |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08003-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
| 1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
| 1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
| 1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
| 1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
| 1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
| 1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
| Find all providers in zip 08003 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560451 | Hilary C Mcgrath | Student in an Organized Health Care Education/Training Program | 823 Cobble Creek Cir, Cherry Hill, NJ 08003-1844 | 2020-05-23 |
| 1063034023 | Michelle Nguyen | Student in an Organized Health Care Education/Training Program | 213 W Miami Ave, Cherry Hill, NJ 08002-2540 | 2020-05-13 |
| 1417585597 | Zachary Jon Walder | Student in an Organized Health Care Education/Training Program | 240 Sharrowvale Rd, Cherry Hill, NJ 08034-2714 | 2020-04-01 |
| 1861020125 | Sabrina R Gordon | Student in an Organized Health Care Education/Training Program | 1006 Burroughs Mill Cir, Cherry Hill, NJ 08002-1266 | 2020-03-31 |
| 1346877321 | Eitan Scheinthal | Student in an Organized Health Care Education/Training Program | 164 Mansfield Blvd N, Cherry Hill, NJ 08034-3609 | 2020-03-27 |
| 1306473848 | Bryan Charles Lembo | Student in an Organized Health Care Education/Training Program | 4 Weston Ct, Cherry Hill, NJ 08003-2113 | 2020-03-25 |
| 1790243525 | Devin Crouch | Student in an Organized Health Care Education/Training Program | 105 Split Rail Dr, Cherry Hill, NJ 08034-3036 | 2019-03-11 |
| 1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
| 1902339013 | Benjamin Shore | Student in an Organized Health Care Education/Training Program | 515 Fireside Ln, Cherry Hill, NJ 08003-3419 | 2017-04-05 |
| 1033695986 | Uche Ugorji | Student in an Organized Health Care Education/Training Program | 2250 Chapel Ave W Ste 100, Cherry Hill, NJ 08002-2051 | 2018-07-13 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08003 |
Please comment or provide details below to improve the information on DR. PAUL ADLY BOULOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.