Individual
DR. VICTORINO LOPEZ DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21635 BIDEN AVE, GEORGETOWN, DE 19947-4574
(302) 856-9596
(302) 645-4744
Mailing address
21635 BIDEN AVE, GEORGETOWN, DE 19947-4574
(302) 856-9596
(302) 645-4744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10005026
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000905301
—
DE
Enumeration date
06/04/2006
Last updated
09/12/2024
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