Individual
JOHANNA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,ARNP,FNP-C
Contact information
Practice address
3196 JOHN F. KENNEDY BLVD, UNION CITY, NJ 07047
(201) 330-3033
Mailing address
8515 4TH AVE, NORTH BERGEN, NJ 07047-5126
(201) 325-1418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26NJ0111990
NJ
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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