Individual
DR. GENOVEVA MARIA PEDRIQUE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 779-6342
(617) 779-6205
Mailing address
11 CAMELOT CT, APT 6J, BRIGHTON, MA 02135-6142
(617) 717-4376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
241539
MA
Other
Enumeration date
08/30/2009
Last updated
08/30/2009
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