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Dr. Ezra Ralph Bobo, MD
Vascular & Interventional Radiology Physician in Vineland, New Jersey
NPI 1710229315

Ezra Ralph Bobo is a Vascular & Interventional Radiology Physician based in Lawrence, NJ and is specialized in Vascular & Interventional Radiology. Ezra Ralph Bobo practices in Vineland, NJ and has the professional credentials of MD. The NPI Number for Ezra Ralph Bobo is 1710229315 and holds a License No. MD2019-0581 (New Jersey).

The current practice location address for Ezra Ralph Bobo is 994 W Sherman Ave Bldg 2, Vineland, NJ and can be reached out via phone at 631-534-7246 and via fax at 856-457-5681.

Location: 994 W Sherman Ave Bldg 2, Vineland, NJ, 11559-2524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710229315
Provider Name
Ezra Ralph Bobo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
994 W Sherman Ave Bldg 2, Vineland, NJ, 11559-2524
Phone Number
631-534-7246
Fax Number
856-457-5681
Provider Enumeration Date
03/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
994 W Sherman Ave Bldg 2
City
Vineland
State
New Jersey
Zip
08360-6937
Phone Number
631-534-7246
Fax Number
856-457-5681
person
Provider Business Mailing Address Details
Address
994 W Sherman Ave Bldg 2
City
Vineland
State
New Jersey
Zip
08360-6937
Phone Number
631-534-7246
Fax Number
856-457-5681
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
()
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD2019-0581 (New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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