SAMANTHA E BOUSTANI MD
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1700413044- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 160 ESSEX ST STE 102, LODI, NJ, 076442709
- Phone
- (551) 996-8111
Specialties & Taxonomies
Internal Medicine
Primary License: NJ #25MA12210800
Internal Medicine, Sports Medicine
License: NJ #25MA12210800
All Addresses
MAILING
331 NEWMAN SPRINGS RD BLDG 2, STE 220
RED BANK, NJ, 077015688