Individual
ENRIQUE GETULIO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCGC
Contact information
Practice address
11 GETTY AVENUE, FLOOR 2, PATERSON, NJ 07503
(973) 754-2729
Mailing address
259 PATERSON AVE APT 218, WALLINGTON, NJ 07057-1920
(732) 228-9376
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
25MJ00061000
NJ
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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