Individual
DR. DIVINA ELIZABETH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
338 UNION AVE, RUTHERFORD, NJ 07070-1563
(201) 842-0501
(201) 842-9190
Mailing address
338 UNION AVE, RUTHERFORD, NJ 07070-1563
(201) 842-0501
(201) 842-9190
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08828200
NJ
208000000X
Pediatrics Physician
ME 107103
FL
Other
Enumeration date
05/10/2010
Last updated
04/02/2014
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