Individual
CARLOS CANTU LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 CONSTITUTION AVE APT 317, BAYONNE, NJ 07002-5077
(862) 955-8495
Mailing address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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