Organization
SOUTHCOAST HAIR OPTIONS
Active
Other names
New England Hair Options
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AJCHARIYA NARDELLA (OWNER)
(401) 644-0322
Entity
Organization
Contact information
Practice address
2082 ACUSHNET AVE, NEW BEDFORD, MA 02745-6141
(508) 995-7085
Mailing address
2082 ACUSHNET AVE, NEW BEDFORD, MA 02745-6141
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497290829
SOUTHCOAST HAIR OPTIONS
MA
Enumeration date
09/19/2024
Last updated
09/19/2024
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