Organization Name: | WOBURN HAIRMATE SALON INC. |
NPI Number: | 1518264910 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANTE G MITRANO (OWNER MANAGER) |
Mailing Address: | 454 Main St Woburn |
State: | MA US |
Postal Code: | 018014236 |
Phone Number: | 7819380495 |
Fax Number: | 7819331477 |
NPI Enumeration Date: | 02/21/2011 |
NPI Last Update Date: | 02/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1098492 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |