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NPI Code Detail

MEDICARE: ABRAHAM V LOPEZ DC

MEDICARE:   ABRAHAM V LOPEZ  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor38MC00669100NJ

General Provider Information

NPI Number : 1023260536
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABRAHAM V LOPEZ DC
Provider Business Mailing Address
First Line : 121 LINCOLN AVE
Second Line :
City : NORTH ARLINGTON
State : NJ
Zip : 07031-4760
Country : US
Telephone Number : 201-428-1290
Fax Number :
Provider Business Practice Location Address
First Line : 121 LINCOLN AVE
Second Line :
City : NORTH ARLINGTON
State : NJ
Zip : 07031-4760
Country : US
Telephone Number : 201-428-1290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2008
Last Update Date : 10/15/2008

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Directions to “ ABRAHAM V LOPEZ DC” Practice Location

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