Provider Demographics
NPI:1144318858
Name:LOPES, FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:
Last Name:LOPES
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 1:141 S WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106
Mailing Address - Country:US
Mailing Address - Phone:856-547-8415
Mailing Address - Fax:856-547-2438
Practice Address - Street 1:141 S WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106
Practice Address - Country:US
Practice Address - Phone:856-547-8415
Practice Address - Fax:856-547-2438
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA037743207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1480804Medicaid
NJ1480804Medicaid
NJ141214Medicare PIN