I.c.u. Inc.
NPI #1124219324 in W Roxbury, Massachusetts
Provider Information
- NPI Number
- 1124219324
- Entity Type
- Organization
- Organization Name
- I.c.u. Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Aug 5, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2034 CENTRE ST
- City
- W Roxbury
- State
- Massachusetts
- ZIP Code
- 02132
- Phone
- (617) 327-0141
Authorized Official
- Name
- RICHARD JAFFE, OPTICIAN
- Title
- OWNER OF STORE
- Phone
- (617) 327-0141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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