Individual
MR. WADE NEWTON DE LOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,L.AC.
Contact information
Practice address
560 W 170TH ST, SUITE 6B, NEW YORK, NY 10032-3324
(718) 877-0292
Mailing address
560 W 170TH ST, SUITE 6B, NEW YORK, NY 10032-3324
(718) 877-0292
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003718-1
NY
171100000X
Acupuncturist
KO000619
PA
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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