Individual
MARIO LOPEZ-AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 MAIN ST, DANBURY, CT 06810-6673
(203) 730-5900
Mailing address
37 BAYVIEW AVE, NORWALK, CT 06854-5107
(203) 644-5648
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1594
CT
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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