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1164109955
CARLOS CANTU LOPEZ
BAYONNE, NJ
NPI
1164109955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-03
Last Update Date
2023-07-03
Business Address
CARLOS CANTU LOPEZ MD
300 CONSTITUTION AVE APT 317
BAYONNE, NJ 07002-5077
Phone number: 862-955-8495
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Mailing Address
CARLOS CANTU LOPEZ MD
111 CENTRAL AVE
NEWARK, NJ 07102-1909
Phone number: 973-877-5000
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