Provider Demographics
NPI:1861659476
Name:LOPES, JAMES M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:LOPES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:375 MOUNT PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2750
Mailing Address - Country:US
Mailing Address - Phone:973-731-7707
Mailing Address - Fax:973-232-2301
Practice Address - Street 1:375 MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2750
Practice Address - Country:US
Practice Address - Phone:973-731-7707
Practice Address - Fax:973-232-2301
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2020-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08930100208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC24192Medicare UPIN