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Organization

NEW ENGLAND WIG CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE LUGO CRANIAL PROST SPECIA (CO-OWNER)
(401) 484-0202
Entity
Organization

Contact information

Practice address
614 N MAIN ST, WOONSOCKET, RI 02895-1155
(401) 484-0202
(508) 699-3707
Mailing address
614 N MAIN ST, WOONSOCKET, RI 02895-1155
(401) 484-0202
(508) 699-3707

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/16/2024
Last updated
02/21/2024
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