Most Relevant Information
Provider Data
| NPI Number: | 1003342312 |
| Provider Name: | DAVID LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/05/2017 |
| Last Updated: | 05/05/2017 |
Provider Practice Location
301 BROADWAY
CHELSEA
MA
021502807
Practice Location Phone/Fax
| Phone: | 6179127914 |
| Fax: |
Provider Mailing Location
301 BROADWAY
CHELSEA
MA
021502807
Provider Mailing Phone/Fax
| Phone: | 6179127914 |
| Fax: |