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NPI Code Detail

MEDICARE: JUANITO F. LOPEZ JR. M.D.

MEDICARE:   JUANITO F. LOPEZ JR. M.D.
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
1174400000XSpecialistD14130MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730175472
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUANITO F. LOPEZ JR. M.D.
Provider Business Mailing Address
First Line : 1012 EDGEWOOD RD
Second Line :
City : EDGEWOOD
State : MD
Zip : 21040-1606
Country : US
Telephone Number : 410-671-7300
Fax Number : 410-671-7312
Provider Business Practice Location Address
First Line : 1012 EDGEWOOD RD
Second Line :
City : EDGEWOOD
State : MD
Zip : 21040-1606
Country : US
Telephone Number : 410-671-7300
Fax Number : 410-671-7312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 01/05/2012

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Directions to “ JUANITO F. LOPEZ JR. M.D.” Practice Location

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