Individual
TIMOTHY ALBERT LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
680 KINDERKAMACK RD STE 300, ORADELL, NJ 07649-1600
(201) 342-2550
Mailing address
680 KINDERKAMACK RD STE 300, ORADELL, NJ 07649-1600
(201) 342-2550
(201) 342-7171
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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