MONA BOULOS, MD

Pediatrics

Active Individual
NPI: 1669466579

Practice Address

1506 S ONEIDA ST
Appleton, WI 54915

Phone: (920) 730-4950

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 24469 (WI)

Frequently Asked Questions

NPI 1669466579 is the National Provider Identifier for MONA BOULOS, MD, a Pediatrics provider located in Appleton, WI. This NPI was enumerated on September 7, 2005.
MONA BOULOS, MD practices at 1506 S ONEIDA ST, Appleton, WI 54915.

Quick Facts

NPI
1669466579
Type
Individual
Enumerated
Sep 7, 2005
Last Updated
Nov 30, 2011

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