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Individual

EMMANUEL LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
520 WESTFIELD AVE, ELIZABETH, NJ 07208-1658
(908) 662-1717
(908) 662-1718
Mailing address
520 WESTFIELD AVE, ELIZABETH, NJ 07208-1658
(908) 662-1717
(908) 662-1718

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
MIRA00383
NJ

Other

Enumeration date
05/19/2015
Last updated
05/19/2015
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