Organization
DELIA FOX D.B.A. DELIAS WIGS & COIFFURES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELIA EDEN FOX LHD (OWNER)
(781) 826-3881
Entity
Organization
Contact information
Practice address
47 PANTOOSET RD, HANOVER, MA 02339
(781) 826-3881
(508) 747-5935
Mailing address
47 PANTOOSET RD., @ COUNTRY VILLA H.S., HANOVER, MA 02339
(781) 826-3881
(508) 747-5935
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PROV701012
HARVARD PILGRIM
—
01
—
PROVDE385954
BC BLUE SHIELD
—
Enumeration date
08/05/2007
Last updated
03/26/2009
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