Organization
NU IMAGE HAIR REHAB RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA BAKER (OWNER)
(732) 252-4186
Entity
Organization
Contact information
Practice address
295 BROADWAY STE 2, LONG BRANCH, NJ 07740-6942
(732) 252-4186
Mailing address
1100 HWY 35 # 1033, OCEAN, NJ 07712-3542
(732) 252-4186
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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