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NPI Code Detail

MEDICARE: HAIRS 2 U WIG BANK

MEDICARE: HAIRS 2 U WIG BANK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251V00000XVoluntary or Charitable Agency178204PA

General Provider Information

NPI Number : 1316316854
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAIRS 2 U WIG BANK
Provider Business Mailing Address
First Line : 764 S 4TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-3121
Country : US
Telephone Number : 215-922-2119
Fax Number :
Provider Business Practice Location Address
First Line : 764 S 4TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-3121
Country : US
Telephone Number : 215-922-2119
Fax Number :
Authorized Official
Title or Position : CEO
Name : LOIS MARRIE ARNOLD
Credential :
Telephone Number : 215-922-2119
Provider Enumeration Date : 09/15/2015
Last Update Date : 09/15/2015

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Directions to “HAIRS 2 U WIG BANK ” Practice Location

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