Individual
DANIEL TAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., DIPL.AC.
Contact information
Practice address
1601 WALNUT ST STE 1523, PHILADELPHIA, PA 19102-2910
(267) 269-0341
Mailing address
1601 WALNUT ST STE 1523, PHILADELPHIA, PA 19102-2910
(267) 269-0341
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001107
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AK001107
STATE MEDICAL BOARD OF PA
PA
Enumeration date
12/07/2020
Last updated
12/07/2020
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