Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MT192139 | PA |
NPI | 1013201870 |
---|---|
Provider Name | Dr. Enrique Aradillas Lopez |
First Address | Langhorne, PA 19047-1212 |
Second Address | Langhorne, PA 19047-1212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2011 |
Last Update Date | 01/06/2021 |