Provider Demographics
NPI:1902628613
Name:BOKTOR, MONA
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:BOKTOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HINKLE CT
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-2739
Mailing Address - Country:US
Mailing Address - Phone:609-943-0910
Mailing Address - Fax:
Practice Address - Street 1:2 HINKLE CT
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-2739
Practice Address - Country:US
Practice Address - Phone:609-943-0910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)