Individual provider · Type 1 NPI

Estephen Boutros, MD

Student in an Organized Health Care Education/Training Program · Neptune, NJ

NPI number 1063264232 Active

Practice location

1945 NJ-33
Neptune, NJ 07753

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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.

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About NPI 1063264232

Estephen Boutros, MD's National Provider Identifier is 1063264232, issued on Apr 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Neptune, NJ. The record was last updated on Apr 2, 2024.