| NPI | 1861408619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A LOPEZ Physician/Owner Of Practice 800-739-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 034568) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |