Organization
PJS MEDICAL DIAGNOSTIC PLLC
Active
Organization
PJS MEDICAL DIAGNOSTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J LODESPOTO MD (OWNER)
(631) 446-4700
Entity
Organization
Contact information
Practice address
650 HALLOCK AVENUE, PORT JEFFERSON STATION, NY 11776-1256
(631) 446-4700
(888) 972-3585
Mailing address
650 HALLOCK AVENUE, PORT JEFFERSON STATION, NY 11776-1256
(631) 446-4700
(888) 972-3585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/20/2012
Last updated
12/20/2013
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