Organization
THE NATURAL MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JUDE LOQUASTO DC (SOLE MEMBER)
(908) 310-4252
Entity
Organization
Contact information
Practice address
2571 BAGLYOS CIR, SUITE B 27, BETHLEHEM, PA 18020-8045
(908) 310-4252
(908) 475-4966
Mailing address
2571 BAGLYOS CIR, SUITE B 27, BETHLEHEM, PA 18020-8045
(908) 310-4252
(908) 475-4966
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC001064L
PA
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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