Individual
MRS. MA. CECILIA DE JESUS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7205
(973) 923-8993
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7205
(973) 923-8993
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00959200
NJ
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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