Individual
FERNANDO ALONZO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN ROAD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2007-01311
NC
207P00000X
Emergency Medicine Physician
25MA08036800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D00066500
CDS NUMBER
NJ
Enumeration date
07/19/2006
Last updated
03/07/2023
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