Individual
MR. CARLO LOPEZ HIPOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
90 WASHINGTON ST, EAST ORANGE, NJ 07017-1050
(718) 838-8255
Mailing address
83 BELMONT DR, LIVINGSTON, NJ 07039-2822
(718) 838-8255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
026425
NY
2251G0304X
Geriatric Physical Therapist
Primary
40QA01226000
NJ
Other
Enumeration date
01/26/2006
Last updated
09/30/2014
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