Individual
GARY M LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1091
(617) 421-2555
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1091
(617) 421-2555
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
60604
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060604
TUFTS
—
01
—
303613
HARVARD
MA
05
—
3048632
—
MA
01
—
32042
FALLON
MA
Enumeration date
03/09/2007
Last updated
02/19/2021
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