Individual
DR. JOSEPH GERARD IAQUINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
82 EAST AVE, WELLSBORO, PA 16901-1716
(570) 724-2255
(570) 723-5110
Mailing address
82 EAST AVE, WELLSBORO, PA 16901-1716
(570) 724-2255
(570) 723-5110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0002800L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000969120 0002
—
PA
01
—
0065357000
PERSONAL CHOICE
PA
01
—
1606227
BC/BS
PA
01
—
819020
FIRST PRIORITY
PA
Enumeration date
07/06/2006
Last updated
03/15/2016
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