Individual
MARTHA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 SOCKANOSSET CROSS RD, CRANSTON, RI 02920-5536
(401) 886-4830
(888) 779-7670
Mailing address
85 JUNIPER DR, EAST GREENWICH, RI 02818-1353
(617) 763-8644
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD14295
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ML93346
—
RI
Enumeration date
11/27/2007
Last updated
01/25/2014
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