| Organization Name: | WELLCREST |
| NPI Number: | 1366787194 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORMA IRIS LOPEZ (FAMILY PHYSICIAN) |
| Mailing Address: | 238 Washington St Marblehead |
| State: | MA US |
| Postal Code: | 019453367 |
| Phone Number: | 7816392260 |
| Fax Number: | 7813486414 |
| NPI Enumeration Date: | 12/05/2012 |
| NPI Last Update Date: | 12/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |