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Individual
DR. NICANOR C. LOPEZ
Active
Individual
DR. NICANOR C. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA03604500
NJ
207Q00000X
Family Medicine Physician
Primary
MD037726L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0368398000
AMERIHEALTH
NJ
05
—
5114306
—
NJ
01
—
60018874
HORIZON NJ HEALTH
NJ
Enumeration date
08/28/2006
Last updated
03/07/2023
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