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Organization

CRANIAL TRESSES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRISHAN PHILLIPS CERTIFICATE/MED WIGS (CEO)
(201) 686-2311
Entity
Organization

Contact information

Practice address
80 FREEMAN ST APT 402, NEWARK, NJ 07105-0288
(201) 686-2311
Mailing address
80 FREEMAN ST APT 402, NEWARK, NJ 07105-0288
(201) 686-2311

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
04/03/2026
Last updated
04/03/2026
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