Individual
DR. AISA G LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5800 RIDGE AVE, ROXBOROUGH MEMORIAL HOSPITAL REHABILITATION DEPARTMENT, PHILADELPHIA, PA 19128-1737
(215) 487-4718
Mailing address
8046 CRITTENDEN ST, PHILADELPHIA, PA 19118-2909
(215) 248-0209
(215) 247-1286
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
MD-038064L
PA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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