Provider Demographics
NPI:1225604143
Name:JACOME LOPEZ, VERONICA ROCIO (MD)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:ROCIO
Last Name:JACOME LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF MEDICINE
Mailing Address - Street 2:350 ENGLE STREET
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631
Mailing Address - Country:US
Mailing Address - Phone:201-894-3495
Mailing Address - Fax:201-894-0839
Practice Address - Street 1:DEPARTMENT OF MEDICINE
Practice Address - Street 2:350 ENGLE STREET
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631
Practice Address - Country:US
Practice Address - Phone:201-894-3495
Practice Address - Fax:201-894-0839
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program