Individual
AGU I UGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1194 SEA ST APT 2, QUINCY, MA 02169-3557
(617) 788-1065
(617) 830-8855
Mailing address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 788-1065
(617) 830-8855
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MA
Other
Enumeration date
03/03/2026
Last updated
03/04/2026
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