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Individual

MS. BARBARA JEAN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
110 MADISON AVE, MORRISTOWN, NJ 07960-6013
(973) 349-7397
Mailing address
23 CRIMSON LN, MINE HILL, NJ 07803-2444
(973) 343-7204

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
005259
NY
363AM0700X
Medical Physician Assistant
Primary
25MP 00046600
NJ

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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