Active NPIIndividual provider

Dr. George Mbolu Jr., MD

Internal Medicine, Pulmonary Disease in Sparta, New Jersey

NPI Number1417488511
Practice location
2 N Village Blvd Ste 2A, Sparta, NJ 07871-3592
Fax
908-522-5121
Last updated
September 29, 2023

George Mbolu is an Internal Medicine, Pulmonary Disease based in Sparta, NJ. George Mbolu practices in Sparta, NJ and has the professional credentials of MD. The NPI Number for George Mbolu is 1417488511 and holds a License No. 25MA11018000 (NJ). The current practice location address for George Mbolu is 2 N Village Blvd Ste 2A, Sparta, NJ 07871-3592 and can be reached out via phone at 973-579-3444 and via fax at 908-522-5121.

Provider Profile Details

NPI Number
1417488511
Provider Name
George Mbolu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 N Village Blvd Ste 2A, Sparta, NJ 07871-3592
Phone Number
973-579-3444
Fax Number
908-522-5121
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
No
Provider Enumeration Date
March 21, 2017
Last Update Date
September 29, 2023
Certification Date
September 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 N Village Blvd Ste 2A
Sparta, NJ 07871-3592
City
Sparta
Zip
07871-3592
Phone Number
973-579-3444
Fax Number
908-522-5121
Sparta, NJ 07871Get directions →

Provider Business Mailing Address Details

Address
Po Box 416457
Boston, MA 02241-4837
City
Boston
State
MA
Zip
02241-4837
Phone Number
844-362-1735
Fax Number
973-290-7495

License Information

License Number (1)
25MA11018000
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA11018000
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. George Mbolu Jr., MD?

The NPI number of Dr. George Mbolu Jr., MD is 1417488511. It was assigned on March 21, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. George Mbolu Jr., MD?

Dr. George Mbolu Jr., MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in NJ under license number 25MA11018000.

Where does Dr. George Mbolu Jr., MD practice?

The practice location is 2 N Village Blvd Ste 2A, Sparta, NJ 07871-3592. The office can be reached at 973-579-3444 (phone) or 908-522-5121 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417488511 directly on the NPPES registry website.

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