Organization
AMBULATORY PAIN CENTER
Active
Other names
Ambulatory Pain Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RONCALLI LODICO M.D. (PRESIDENT)
(724) 933-0300
Entity
Organization
Contact information
Practice address
7000 STONEWOOD DR, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456
Mailing address
7000 STONEWOOD DR, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD047135L
PA
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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