Organization
EYECUITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J LODESPOTO MD (OWNER)
(631) 446-4700
Entity
Organization
Contact information
Practice address
87 METACOMET ST, BELCHERTOWN, MA 01007-9795
(631) 446-4700
Mailing address
87 METACOMET ST, BELCHERTOWN, MA 01007-9795
(631) 446-4700
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
257193
MA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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