Individual provider · Type 1 NPI

Antoine Boustany, MD

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number 1669044871 Active

Practice location

18101 Lorain Ave
Cleveland, OH 44111-5612

Call (216) 385-6863 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X57.251393 (OH)

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 1669044871

Antoine Boustany, MD's National Provider Identifier is 1669044871, issued on Jul 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on Aug 27, 2022.