Individual
ERNEST YEBOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 VENUS RD, SOUTH AMBOY, NJ 08879-2423
(732) 322-7243
Mailing address
4 VENUS RD, SOUTH AMBOY, NJ 08879-2423
(732) 322-7243
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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