Individual
MR. ANTHONY M LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10 N MAIN ST, BRISTOL, CT 06010-8122
(888) 793-3500
Mailing address
191 MAIN ST APT B1, FARMINGTON, CT 06032-2914
(203) 917-2824
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
152319
CT
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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