Marco Antonio Lopez, DC | |
1187 Main Ave Ste 1d, Clifton, NJ 07011-2252 | |
(973) 742-0927 | |
(888) 373-2114 |
Full Name | Marco Antonio Lopez |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 15 Years |
Location | 1187 Main Ave Ste 1d, Clifton, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073838991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NN0400X | Chiropractor - Neurology | X0116921 (New York) | Secondary |
111NN0400X | Chiropractor - Neurology | 38MC00673900 (New Jersey) | Primary |
Provider Name | Spine Specialist |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407165111 PECOS PAC ID: 5092988832 Enrollment ID: O20111024000269 |
Mailing Address | Practice Location Address |
---|---|
Marco Antonio Lopez, DC Po Box 7036, Suite 105, West Orange, NJ 07052-7036 Ph: (973) 742-0927 | Marco Antonio Lopez, DC 1187 Main Ave Ste 1d, Clifton, NJ 07011-2252 Ph: (973) 742-0927 |
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