Lopez, Antonio D.S.

Lopez, Antonio D.S. is an sole proprietor health care provider with primary practice located at 52 Washington Ave Suite 4, North Haven CT 06473-1724. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lopez, Antonio D.S. can be contacted via phone (203) 672-2800.

Contact Information

Primary practice address
52 Washington Ave Suite 4 North Haven CT 06473-1724
Phone: (203) 672-2800
Fax: (203) 672-2801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036552 Connecticut
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036552 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036552 Connecticut

Profile Details

NPI number 1063492536
LBN Legal business name Lopez, Antonio D.S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Nov 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063492536 NPPES
Connecticut MEDICAID 004212932

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