Individual
MR. JAVIER LOPEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5158 BROADWAY AVE, CLEVELAND, OH 44127-1533
(216) 271-0711
(216) 271-5473
Mailing address
5158 BROADWAY AVE, CLEVELAND, OH 44127-1533
(216) 271-0711
(216) 271-5473
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2653301
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080433
—
OH
Enumeration date
10/07/2005
Last updated
07/08/2007
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