Individual
JERKY EBAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-0288
Mailing address
8055 MAYFIELD RD STE 105, CHESTERLAND, OH 44026-2447
(440) 214-8026
(216) 201-7963
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.153447
OH
Other
Enumeration date
04/06/2020
Last updated
06/06/2025
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