Whalio Doctors

NPI 1053307470

Marvin J Lopez, MD

Practitioner Surgery Physician Brighton, MA

Practice location

Address
11 Nevins St STE 201, Brighton, MA 02135
Phone
(617) 789-2442
Fax
(617) 789-4207
Mailing address
77 Warren St Rm 339, Brighton, MA 02135

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 76718 (MA)

Registry record

NPI
1053307470
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Sep 2005
Record last updated
23 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.