Organization
AMBIANCE WIG & PROSTHETICS
Active
Organization
AMBIANCE WIG & PROSTHETICS
Active
Parent organization
AMBIANCE WIGS AND PROSTHETIC
Other names
LAURA M BATTISTONI
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBIANCE WIGS AND PROSTHETIC
Authorized official
LAURA M BATTISTONI (OWENER)
(413) 569-3108
Entity
Organization
Contact information
Practice address
549 COLLEGE HWY, SOUTHWICK, MA 01077-9774
(413) 569-3580
(413) 455-2923
Mailing address
549 COLLEGE HWY, SOUTHWICK, MA 01077-9774
(413) 569-3580
(413) 455-2923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400854
BCBS
MA
01
—
695968
TUFTS
—
Enumeration date
05/13/2008
Last updated
06/26/2008
Update your record
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