Individual
GREGORY JAMES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4471
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1021927
MA
208000000X
Pediatrics Physician
Primary
MD19779
RI
Other
Enumeration date
05/21/2021
Last updated
04/03/2025
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