Organization
ADVANCED PAIN MEDICINE PC
Active
Other names
Advanced Pain Medicine PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R. LODICO M.D. (PRESIDENT)
(724) 933-0300
Entity
Organization
Contact information
Practice address
7000 STONEWOOD DR, STE 151, WEXFORD, PA 15090-8386
(724) 933-0300
(724) 933-0456
Mailing address
7000 STONEWOOD DR, STE 151, WEXFORD, PA 15090
(724) 933-0300
(724) 933-0456
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
MD047135L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224979
HEALTH AMERICA
PA
01
—
361577
HIGHMARK
PA
Enumeration date
07/18/2006
Last updated
08/24/2022
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