Individual
EMANUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
246 CLIFTON AVE STE 4, CLIFTON, NJ 07011-1953
(973) 928-2715
(201) 205-2433
Mailing address
64 GLENWOOD AVE, LAKE HIAWATHA, NJ 07034-1012
(201) 247-3223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15151400
NJ
Other
Enumeration date
10/23/2024
Last updated
02/02/2026
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