Individual
DR. EDNA RETIRACION LOPEZ-MASLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
206 BELLEVILLE AVE STE 202, BLOOMFIELD, NJ 07003-3589
(973) 743-0202
(973) 743-0777
Mailing address
LB# 7550 PO BOX 95000, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA0653880
NJ
Other
Enumeration date
02/01/2006
Last updated
01/16/2019
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