Organization
GONZALO LOPEZ, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA LOPEZ (OFFICE MANAGER)
(212) 243-1671
Entity
Organization
Contact information
Practice address
365 W 25TH ST, GROUND FLOOR, NEW YORK, NY 10001-5803
(212) 243-1671
Mailing address
365 W 25TH ST, GROUND FLOOR, NEW YORK, NY 10001-5803
(212) 243-1671
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
105371
NJ
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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