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Individual

ANA MARIA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
925 CHESTNUT ST STE 320A, PHILADELPHIA, PA 19107
(215) 955-8874
(215) 955-2340
Mailing address
127 SO. 500 EAST #600, SALT LAKE CITY, UT 84102-1971
(801) 587-6705
(801) 715-8228

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
19379
AZ
207RX0202X
Medical Oncology Physician
25MA10370700
NJ
207RX0202X
Medical Oncology Physician
Primary
MD464121
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078130
AZ
Enumeration date
09/20/2006
Last updated
11/02/2018
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