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Emmanuel Lopez
Driver in Elizabeth, New Jersey
NPI 1710366117

Emmanuel Lopez is a Driver based in Elizabeth, NJ. Emmanuel Lopez practices in Elizabeth, NJ. The NPI Number for Emmanuel Lopez is 1710366117 and holds a License No. MIRA00383 (New Jersey).

The current practice location address for Emmanuel Lopez is 520 Westfield Ave, Elizabeth, NJ and can be reached out via phone at 908-662-1717 and via fax at 908-662-1718.

Location: 520 Westfield Ave, Elizabeth, NJ, 07208-1658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710366117
Provider Name
Emmanuel Lopez
Credential
Provider Entity Type
Individual
Gender
Male
Address
520 Westfield Ave, Elizabeth, NJ, 07208-1658
Phone Number
908-662-1717
Fax Number
908-662-1718
Provider Enumeration Date
05/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
520 Westfield Ave
City
Elizabeth
State
New Jersey
Zip
07208-1658
Phone Number
908-662-1717
Fax Number
908-662-1718
person
Provider Business Mailing Address Details
Address
520 Westfield Ave
City
Elizabeth
State
New Jersey
Zip
07208-1658
Phone Number
908-662-1717
Fax Number
908-662-1718
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
MIRA00383 (New Jersey)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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