Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | LT000709 | PA |
Y | 2080P0202X | Pediatric Cardiologist | MD445889 | PA |
NPI | 1033402243 |
---|---|
Provider Name | Alejandro Jose Lopez-Magallon |
First Address | Pittsburgh, PA 15224-1334 |
Second Address | Pittsburgh, PA 15224-1334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2011 |
Last Update Date | 13/07/2017 |