Individual
DR. GEORGE MBOLU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2 N VILLAGE BLVD STE 2A, SPARTA, NJ 07871-3592
(973) 579-3444
(908) 522-5121
Mailing address
PO BOX 416457, BOSTON, MA 02241-4837
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11018000
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA11018000
NJ
Other
Enumeration date
03/21/2017
Last updated
09/29/2023
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