Individual
FLORITA CORDERO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
713 BETHLEHEM PIKE, MONTGOMERYVILLE, PA 18936-9602
(267) 695-3944
(267) 695-3945
Mailing address
PO BOX 758952, BALTIMORE, MD 21275-8952
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD438564
PA
208M00000X
Hospitalist Physician
Primary
MD438564
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213827
MEDICRE GROUP PTAN
PA
Enumeration date
05/19/2008
Last updated
09/12/2024
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