Individual
PETER J LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-5022
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-5022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000756
CT
Other
Enumeration date
05/24/2006
Last updated
09/29/2023
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