NPI 1215658984

Somerset Hair Loss Center

Organisation Prosthetic/Orthotic Supplier Bayonne, NM

Practice location

Address: 430 Vet Memorial Boulevard Suite 5, Bayonne, NM 07002
Phone: (201) 275-8540

Authorised official

Name: Deedra Smith
Title: Owner
Phone: (201) 275-8540

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1215658984
Entity type: Organization
NPI issued: 9 Sep 2022
Record last updated: 9 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.