Individual
JAIME T LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2014 WASHINGTON ST, DEPT OF ANESTHESIA, NEWTON, MA 02462
(617) 243-6298
(617) 243-6184
Mailing address
PO BOX 414628, PAR MGMT, BOSTON, MA 02241-4628
(781) 449-6150
(781) 449-3970
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34043
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029138
—
MA
Enumeration date
07/06/2006
Last updated
07/08/2007
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