| Dr Hector Ulises Lopez Marquez, MD | |
|
480 Hawthorn St, North Dartmouth, MA 02747-3729 | |
| (508) 973-9170 | |
| (508) 973-9175 |
| Full Name | Dr Hector Ulises Lopez Marquez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 480 Hawthorn St, North Dartmouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215469861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 291671 (Massachusetts) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 291671 (Massachusetts) | Primary |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hector Ulises Lopez Marquez, MD 200 Mill Rd, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Dr Hector Ulises Lopez Marquez, MD 480 Hawthorn St, North Dartmouth, MA 02747-3729 Ph: (508) 973-9170 |
M. Richard Pavao, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 480 Hawthorn St, North Dartmouth, MA 02747 Phone: 508-973-9170 Fax: 508-973-9175 | |
Lawrence F Velho, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 141 Highland Ave, North Dartmouth, MA 02747 Phone: 508-679-3131 | |
Dr. Daniel H. Park, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 480 Hawthorn St, North Dartmouth, MA 02747 Phone: 508-973-9170 Fax: 508-973-9175 |