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Organization
LODESPOTO MEDICAL OF NJ LLC
Active
Organization
LODESPOTO MEDICAL OF NJ LLC
Active
Other names
Eyecuity of New Jersey
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J LODESPOTO MD (OWNER)
(201) 335-8909
Entity
Organization
Contact information
Practice address
225 PASSAIC ST, PASSAIC, NJ 07055-6414
(201) 335-8909
(844) 840-7352
Mailing address
PO BOX 958, PORT JEFFERSON STATION, NY 11776-0811
(201) 335-8909
(844) 840-7352
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
25MA09300800
NJ
Other
Enumeration date
09/22/2014
Last updated
04/17/2019
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