Individual
DR. EPIFANIA LOPEZ RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1119 BROAD ST, NEWARK, NJ 07114-2501
(973) 824-8226
(973) 824-0193
Mailing address
1119 BROAD ST, NEWARK, NJ 07114-2501
(973) 824-8226
(973) 824-0193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA034294
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972804
—
NJ
Enumeration date
08/09/2005
Last updated
10/28/2011
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