Lopez, Juan

Lopez, Juan is an sole proprietor health care provider with primary practice located at 17 Newcastle Ct , Mountain Lakes NJ 07046-1450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lopez, Juan can be contacted via phone (973) 625-4106.

Contact Information

Primary practice address
17 Newcastle Ct Mountain Lakes NJ 07046-1450
Phone: (973) 625-4106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA36433 New Jersey

Profile Details

NPI number 1497821250
LBN Legal business name Lopez, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2006
Last updated Jul 12th, 2017 - about 7 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 1497821250 NPPES
New Jersey MEDICAID 1704702

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