person
Mark William Memolo, MD
Vascular & Interventional Radiology Physician in Gastonia, North Carolina
NPI 1386627115

Mark William Memolo is a Vascular & Interventional Radiology Physician based in Gastonia, NC and is specialized in Vascular & Interventional Radiology. Mark William Memolo practices in Gastonia, NC and has the professional credentials of MD. The NPI Number for Mark William Memolo is 1386627115 and holds a License No. 33274 (North Carolina).

The current practice location address for Mark William Memolo is 620 Summit Crossing Pl, Gastonia, NC and can be reached out via phone at 704-867-8021 and via fax at 704-864-4606. You can also correspond with Mark William Memolo through the mailing address at 620 SUMMIT CROSSING PL, GASTONIA, NC - 28054 (mailing address contact number: 704-867-8021).

Location: 620 Summit Crossing Pl, Gastonia, NC, 28054
person
Provider Profile Details
NPI Number
1386627115
Provider Name
Mark William Memolo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 Summit Crossing Pl, Gastonia, NC, 28054
Phone Number
704-867-8021
Fax Number
704-864-4606
Provider Enumeration Date
11/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58609 01 BLUE CROSS BLUE SHIELD
N33274 05 SC
12402 01 PARTNERS
73411 01 MEDCOST
8958609 05 NC
2353109 01 AETNA HMO
4630736 01 AETNA PPO
300061402 01 RAILROAD MEDICARE
1642996 01 UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
620 Summit Crossing Pl
City
State
Zip
28054
Phone Number
704-867-8021
Fax Number
704-864-4606
person
Provider Business Mailing Address Details
Address
620 Summit Crossing Pl
City
State
Zip
28054
Phone Number
704-867-8021
Fax Number
704-864-4606
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
33274 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
33274 (North Carolina)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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