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Individual

DR. ARMANDO E LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
718 SMYTH RD FL 3, MANCHESTER, NH 03104
(603) 624-4366
Mailing address
718 SMYTH RD FL 3, MANCHESTER, NH 03104-7007
(603) 624-4366

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
0420010357
VT
208800000X
Urology Physician
Primary
11485
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00058666
BLUE SHIELD
VT
05
1008680
VT
01
340020261
MEDICARE RAILROAD
VT
01
402427
MVP
VT
Enumeration date
08/23/2006
Last updated
09/06/2018
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