Individual
NICOLE MM LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 NEWARK AVE STE 307, BELLEVILLE, NJ 07109-1193
(973) 969-1020
(973) 751-2890
Mailing address
50 NEWARK AVE STE 307, BELLEVILLE, NJ 07109-1193
(973) 969-1020
(973) 751-2890
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA10178800
NJ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
25MA10178800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2011
Last updated
10/19/2023
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