EZRA RALPH BOBO

VINELAND, NJ
NPI1710229315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology Vascular & Interventional Radiology
(Licence: NJ  25MA10009300)
Additional Taxonomies2085R0204X Radiology Vascular & Interventional Radiology
(Licence: NM  MD2019-0581)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-03-21
Last Update Date2024-01-18
Business Address
DR. EZRA RALPH BOBO M.D.
994 W SHERMAN AVE BLDG 2
VINELAND, NJ 08360-6937
Phone number: 631-534-7246
Mailing Address
DR. EZRA RALPH BOBO M.D.
76 PARK ROW
LAWRENCE, NY 11559-2524
Phone number: