Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LOPEZ, MD
Active Sole ProprietorJENNIFER LOPEZ, MD is a Family Medicine healthcare provider located in BERLIN, New York. NPI 1679193700 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BERLIN, NY
Registration Details
- NPI Number
- 1679193700
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2020 (6.3389088801658 yrs)
- Last Updated
- Apr 18, 2020
- License
-
189255 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
46 S MAIN STBERLIN, NY, 120227730Browse NY providers · Browse ZIP 12022
- Phone
- 8454163094
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.