Organization Name: | AMBULATORY PAIN CENTER |
NPI Number: | 1396974192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK RONCALLI LODICO (PRESIDENT) |
Mailing Address: | 7000 Stonewood Dr Wexford |
State: | PA US |
Postal Code: | 150907376 |
Phone Number: | 7249330300 |
Fax Number: | 7249330456 |
NPI Enumeration Date: | 07/14/2009 |
NPI Last Update Date: | 07/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD047135L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |