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
| Taxonomy | Code | License |
|---|---|---|
| Neuroradiology Physician Primary | 2085N0700X | MD447488 (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.