Individual
DR. SEBLEWONGEL BULCHA DEBOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2605 SHORE RD, NORTHFIELD, NJ 08225-2136
(609) 365-5300
Mailing address
1 E. NEW YORK AVE, 4TH FLOOR ADMIN, SOMERS POINT, NJ 08244-1600
(609) 653-3265
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
255018
NY
207Q00000X
Family Medicine Physician
Primary
25MA09289300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437433
—
NJ
Enumeration date
05/30/2008
Last updated
11/14/2022
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