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Individual
PABLO M. LOPEZ
Active
Individual
PABLO M. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
249426
NY
207RR0500X
Rheumatology Physician
249426
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10137832
CDPHP
NY
01
—
3005913
MVP
—
01
—
7780P1
BLUE CROSS
—
Enumeration date
07/21/2008
Last updated
02/01/2024
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