Organization · Type 2 NPI

Lodespoto Medical of PA PLLC

Neuroradiology Physician · Philadelphia, PA

NPI number 1164962148 Active

Practice location

1500 Market Street, 12th Floor East Tower
Philadelphia, PA 19102-2152

Fax (888) 972-3585

Mailing address

PO Box 958
Port Jefferson Station, NY 11776-0811

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician Primary 2085N0700XMD447488 (PA)

Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Another provider at this address

About NPI 1164962148

Lodespoto Medical of PA PLLC's National Provider Identifier is 1164962148, issued on Feb 24, 2017. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 25, 2017.