Thilo Ernesto Lopez, SURGICALASSISTANT
Thilo Ernesto Lopez, SURGICALASSISTANT is a Surgical Physician Assistant in Bronx, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
109 E 153rd St Apt 30EBronx, NY 10451-5262
Phone: (347) 391-9503
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Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X (NY) |
|---|
Record details
| NPI number | 1326621608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SURGICALASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | May 4, 2021 |
| Last updated in NPPES | May 4, 2021 |
| Certification date | May 4, 2021 |
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