Individual
DR. JAVIER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3897
(203) 384-3950
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3897
(203) 384-3950
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
044539
CT
2084P0805X
Geriatric Psychiatry Physician
044539
CT
Other
Enumeration date
08/01/2006
Last updated
12/11/2014
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