Individual
BRYAN ISRAEL NICOLALDE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5384
Mailing address
123 SUMMER ST, 2ND FLOOR NORTH, GME CARDIOLOGY, WORCESTER, MA 01608-1216
(508) 363-5384
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
06/15/2026
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