DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GEORGE MBOLU JR., M.D

Active

DR. GEORGE MBOLU JR., M.D is a Pulmonary Disease healthcare provider located in SPARTA, New Jersey. NPI 1417488511 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · SPARTA, NJ

Registration Details

NPI Number
1417488511
Provider Type
Individual
Gender
Male
NPI Issued
Mar 21, 2017 (9.4149456862585 yrs)
Last Updated
Sep 29, 2023
Licenses
25MA11018000 (NJ)
25MA11018000 (NJ)

Practice Information

Address
2 N VILLAGE BLVD STE 2A
SPARTA, NJ, 078713592
Browse NJ providers · Browse ZIP 07871
Phone
9735793444
Fax
9085225121
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Pulmonary Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.