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Contact Information

MAGED T BOUTROS, MD
1033 ROUTE 46 STE G1
CLIFTON, NJ07013-2448
 Phone: 973-429-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAGED T BOUTROS · (Male)

NPI Number 1497785281
Status Active
Credentials MD
Entity Individual
Enumeration date 07/04/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08097300
  • NJ Medicaid 0111759
  • NJ Other 0138808 GHI
  • NJ Other P00359479 RAILROAD
  • NJ Other P00688848 RAILROAD MEDICARE-HIGHLAND PHYS SRVS
Hospital affiliation(s)
  • CLARA MAASS MEDICAL CENTER - (Acute Care)
    ONE CLARA MAAS DRIVE
    BELLEVILLE, NJ 07109
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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