Individual
BRYAN ISRAEL NICOLALDE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
NORWALK HOSPITAL 34 MAPLE STREET, NORWALK, CT 06856
(203) 652-2303
Mailing address
NORWALK HOSPITAL 34 MAPLE STREET, NORWALK, CT 06856
(203) 852-2303
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
07/28/2023
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