Boustani, Samantha Elias
Boustani, Samantha Elias is an individual health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Boustani, Samantha Elias can be contacted via phone (551) 996-2000.Contact Information
Primary practice address
30 Prospect Ave
Hackensack NJ 07601-1915
Phone: (551) 996-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | 25MA12210800 | New Jersey |
Profile Details
| NPI number | 1700413044 |
|---|---|
| LBN Legal business name | Boustani, Samantha Elias |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2020 |
| Last updated | Jun 2nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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