Provider Demographics
NPI:1992567069
Name:TRUBEAUTY HAIR STUDIO & HAIR LOSS CENTER
Entity type:Organization
Organization Name:TRUBEAUTY HAIR STUDIO & HAIR LOSS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:DANILLE
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-380-6868
Mailing Address - Street 1:3 BUCHANAN ST REAR BUILDING
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3426
Mailing Address - Country:US
Mailing Address - Phone:908-380-6868
Mailing Address - Fax:
Practice Address - Street 1:761 MOUNTAIN AVE REAR BUILDING
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3223
Practice Address - Country:US
Practice Address - Phone:908-380-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier