Individual
EDWARD LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 SELWYN AVE, BRONX, NY 10457-7626
(347) 371-2269
Mailing address
2400 CAMBRELENG AVE APT 9, BRONX, NY 10458-6274
(929) 343-0939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A207632
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2023
Last updated
04/29/2026
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