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Contact Information

CHERIF BOUTROS, MD
350 ENGLE ST STE 6501
ENGLEWOOD, NJ07631-1808
 Phone: 201-608-2800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHERIF BOUTROS · (Male)

NPI # 1912105495
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2007
Last updated 09/27/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MD License # D0070965
  • NJ License # 25MA12203300
  • MD Medicaid 034615200
  • NJ Medicaid 0997579
  • MD Other Q818-0022 CAREFIRST GROUP
  • MD Other 967368-02 CAREFIRST RENDERING NUMBER
  • MD Other 238612 JOHNS HOPKINS HEALTHCARE
  • MD Other GROUP PTAN:DQ7486 MEDICARE RAIL ROAD
  • MD Other P00893238 MEDICARE RAIL ROAD
Hospital affiliation(s)
  • BALTIMORE WASHINGTON MEDICAL CENTER - (Acute Care)
    301 HOSPITAL DRIVE
    GLEN BURNIE, MD 21061
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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