Bobo, Ezra Ralph
Bobo, Ezra Ralph is an individual health care provider with primary practice located at 994 W Sherman Ave Bldg 2 , Vineland NJ 08360-6937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Bobo, Ezra Ralph can be contacted via phone (631) 534-7246.Contact Information
Primary practice address
994 W Sherman Ave Bldg 2
Vineland NJ 08360-6937
Phone: (631) 534-7246
Fax: (856) 457-5681
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD2019-0581 | New Mexico |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 25MA10009300 | New Jersey |
Profile Details
NPI number | 1710229315 |
---|---|
LBN Legal business name | Bobo, Ezra Ralph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2013 |
Last updated | Jan 18th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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