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Individual

MARCO ANTONIO LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1187 MAIN AVE STE 1D, CLIFTON, NJ 07011-2252
(973) 742-0927
(888) 373-2114
Mailing address
PO BOX 7036, SUITE 105, WEST ORANGE, NJ 07052-7036
(973) 742-0927
(888) 373-2114

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
38MC00673900
NJ
111NN0400X
Neurology Chiropractor
X0116921
NY

Other

Enumeration date
04/03/2010
Last updated
05/04/2020
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