Magdy I Boulos, MD | |
774 Christiana Road, Suite 202 Delaware Neurosurgical Group, Pa, Newark, DE 19713 | |
(302) 366-7671 | |
(302) 366-7549 |
Full Name | Magdy I Boulos |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 774 Christiana Road, Newark, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164520037 | NPI | - | NPPES |
441142071 | Other | DE | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | C10001618 (Delaware) | Primary |
207T00000X | Neurological Surgery | D0020406 (Maryland) | Secondary |
Entity Name | Delaware Neurosurgical Group, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770676629 PECOS PAC ID: 1557300431 Enrollment ID: O20050429000427 |
Mailing Address | Practice Location Address |
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Magdy I Boulos, MD 774 Christiana Road, Suite 202 Delaware Neurosurgical Group, Pa, Newark, DE 19713 Ph: (302) 366-7671 | Magdy I Boulos, MD 774 Christiana Road, Suite 202 Delaware Neurosurgical Group, Pa, Newark, DE 19713 Ph: (302) 366-7671 |
Pawan Rastogi, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 774 Christiana Road, Suite 202, Newark, DE 19713 Phone: 302-366-7671 Fax: 302-366-7549 | |
Paul T Boulos, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 774 Christiana Rd, Ste 202, Newark, DE 19713 Phone: 302-366-7671 Fax: 302-366-7549 | |
Leif-erik Sheldon Bohman, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 774 Christiana Rd, Suite 202, Newark, DE 19713 Phone: 302-366-7671 | |
Dr. Bikash Bose, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: C 79 Omega Drive, Newark, DE 19713 Phone: 302-738-9145 Fax: 302-738-9148 |