| NPI | 1164962148 |
|---|---|
| Former Legal Business Name | LODESPOTO MEDICAL PLLC |
| Entity Type | Organization |
| Authorized Contact | MARK J LODESPOTO Owner 484-282-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: PA MD447488) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-10-25 |