Individual
DIANA CAROLINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3 CENTURY DR, PARSIPPANY, NJ 07054-4610
(973) 740-0607
Mailing address
167 BELL AVE, LODI, NJ 07644-3262
(973) 715-6427
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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