Mona S Boulos
MD | Pediatrics | Female
Mona S Boulos, MD is a Appleton, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mona S Boulos is
1506 S Oneida St, Appleton, Wisconsin - 54915-1305. She can be contacted on phone at
920-730-4950.
Mona S Boulos is a sole proprietor of her business.
NPI number (Unique professional ID) for Mona S Boulos is
1669466579 which was assigned by NPPES on 07 Sep, 2005 and it was last updated on 30 Nov, 2011.
Mona S Boulos license number is
24469 for Pediatrics (208000000X) in Wisconsin.
Mona S Boulos is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mona S Boulos basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mona S Boulos |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mona S Boulos address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1506 S Oneida St
Appleton, WI, 54915-1305
United States |
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| Phone Number : | 920-730-4950 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669466579 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Sep, 2005 |
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| Last Updated On : | 30 Nov, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mona S Boulos are as mentioned. Primary taxonomy code for Mona S Boulos, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 24469 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Mona S Boulos such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 30559700 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1506 S Oneida St
Appleton, WI, 54915-1305
United States |
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| Phone Number : | 920-730-4950 |
|---|
Business Location:
Patients can refer following map for directions to
Mona S Boulos practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.