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Contact Information

SERENITY WIG DESIGN LLC
461 US HIGHWAY 46
FAIRFIELD, NJ07004-1954
 Phone: 973-668-8336
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for SERENITY WIG DESIGN LLC

NPI Number 1194343103
LBN Legal business name SERENITY WIG DESIGN LLC
Authorized official SUSAN LUPO - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2020
Last updated 07/07/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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