Individual
DR. JONATHAN M BEN-EZRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL STREET, PATHOLOGY, RICHMOND, VA 23298-0250
(804) 828-0902
(804) 828-2812
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
0101047377
VA
Other
Enumeration date
07/14/2006
Last updated
07/09/2007
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