Individual
RAFAEL LOPEZ MONEGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17A BEECH GROVE ROAD, HONESDALE, PA 18431-1445
(570) 253-0800
(570) 253-0800
Mailing address
17A BEECH GROVE ROAD, HONESDALE, PA 18431-1445
(570) 253-0800
(570) 253-0800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD046535L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012909800002
—
PA
Enumeration date
09/06/2005
Last updated
02/21/2008
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