Individual
ANTONIO D.S. LOPEZ
Active
Individual
ANTONIO D.S. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036552
CT
207R00000X
Internal Medicine Physician
Primary
036552
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
036552
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212932
—
CT
Enumeration date
01/19/2006
Last updated
11/06/2012
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