Organization
LODESPOTO MEDICAL OF PA PLLC
Active
Other names
Lodespoto Medical PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J LODESPOTO MD (OWNER)
(484) 282-7650
Entity
Organization
Contact information
Practice address
1500 MARKET STREET, 12TH FLOOR EAST TOWER, PHILADELPHIA, PA 19102-2152
(484) 282-7650
(888) 972-3585
Mailing address
PO BOX 958, PORT JEFFERSON STATION, NY 11776-0811
(484) 282-7650
(888) 972-3585
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD447488
PA
Other
Enumeration date
02/24/2017
Last updated
10/25/2017
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