Organization
TAORMINA MANAGEMENT, LLC
Active
Other names
Wagner Integrative Therapies, Wagner Integrative Therapes
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ADAM WAGNER DC (CHIROPRACTOR)
(215) 230-8100
Entity
Organization
Contact information
Practice address
875 N EASTON RD STE 5B, DOYLESTOWN, PA 18902-1026
(215) 230-8100
(215) 230-8892
Mailing address
875 N EASTON RD STE 5B, DOYLESTOWN, PA 18902-1026
(215) 230-8100
(215) 230-8892
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC006590L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000858155
HIGHMARK BLUE SHIELD
PA
01
—
0965277000
INDEPENDENCE BS
PA
01
—
1053559567
INDIVIDUAL IDENTIFIER
PA
01
—
1881635159
INDIVIDUAL NPI
PA
01
—
2059271
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/02/2008
Last updated
09/02/2020
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