# HAIR CULTURZ WIG MEDICAL CRANIAL PROSTHETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023857935
- **Authorized official:** MARY MOORE CERTIFIED SPECIALIST (PARTNER)
- **Authorized official phone:** (617) 581-8063

## Contact information

- **Practice address:** 86 ORMOND ST, BOSTON, MA 02126-1508
- **Practice address phone:** (617) 581-8063
- **Mailing address:** 86 ORMOND ST, BOSTON, MA 02126-1508
- **Mailing address phone:** (617) 581-8063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2024
- **Last updated:** 05/21/2024