Provider Demographics
NPI:1659346674
Name:LOPEZ-ROMERO, JOSE (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:LOPEZ-ROMERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 BOWMAN ST STE C
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-3871
Mailing Address - Country:US
Mailing Address - Phone:423-586-3249
Mailing Address - Fax:423-586-3250
Practice Address - Street 1:230 BOWMAN ST STE C
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-3871
Practice Address - Country:US
Practice Address - Phone:423-586-3249
Practice Address - Fax:423-586-3250
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000040243207L00000X, 207L00000X
TN40243207LA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine