Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mona S Boulos, MD

Individual provider Pediatrics Physician · NPI 1669466579

Mona S Boulos, MD is a Pediatrics Physician in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1506 S Oneida St
Appleton, WI 54915-1305
Phone: (920) 730-4950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 24469 (WI)

Record details

NPI number1669466579
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2005
Last updated in NPPESNovember 30, 2011
Mailing address1506 S Oneida St, Appleton, WI 54915-1305

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