Individual
NURIA LOPEZ-PAJARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 W HUNTING PARK AVE, SUITE 300-A, PHILADELPHIA, PA 19140-2717
(215) 324-0600
(215) 324-2795
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 324-0600
(215) 324-2796
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD 069596L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001793782
—
PA
01
—
0122020000
INDEPENDENCE BLUE CROSS
PA
01
—
10510
BRAVO HEALTH
PA
01
—
110209714
RAILROAD MEDICARE
PA
01
—
1148067
KEYSTONE MERCY HEALTH
PA
01
—
3046233
AETNA HMO
PA
01
—
479554
HIGHMARK BLUE SHIELD
PA
01
—
519081
COVENTRY HEALTH AMERICA
PA
01
—
7520213
AETNA PPO
PA
Enumeration date
12/15/2005
Last updated
10/21/2013
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