Individual
MR. JAMAL AIT ICHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115
(617) 732-6306
Mailing address
75 FRANCIS ST, BOSTON, MA 02115
(617) 732-6306
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3017772
MA
Other
Enumeration date
04/17/2025
Last updated
12/18/2025
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