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1609221555
RAPHAEL EZEAGU
BROOKLYN, NY
NPI
1609221555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: TN 63181)
Enumeration Date
2016-04-28
Last Update Date
2021-09-21
Business Address
RAPHAEL EZEAGU MBBS
4802 10TH AVE MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219-2916
Phone number: 718-283-8000
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Mailing Address
RAPHAEL EZEAGU MBBS
509 MED TECH PKWY STE 100
JOHNSON CITY, TN 37604-2579
Phone number: 423-302-6565
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