Provider Demographics
NPI:1275678633
Name:FINELY DONNAS HAIR AND WIG SALONG
Entity Type:Organization
Organization Name:FINELY DONNAS HAIR AND WIG SALONG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - COSMETOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MAGLIOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-460-9697
Mailing Address - Street 1:64 FLORENCE ST
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-2858
Mailing Address - Country:US
Mailing Address - Phone:508-460-9697
Mailing Address - Fax:
Practice Address - Street 1:64 FLORENCE ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-2858
Practice Address - Country:US
Practice Address - Phone:508-460-9697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1090112332B00000X
MA39220332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
396054OtherBCBS
702251OtherHARVARD PILGRIM
45386OtherFALLON