Individual
MRS. MICHELLE MARGOTTA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 MAIN ST, HOLMDEL, NJ 07733-2136
(732) 571-1000
Mailing address
79 DIVEN ST, SPRINGFIELD, NJ 07081-2801
(908) 265-0355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14903000
NJ
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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