Organization
ICON MEDICAL SOLUTIONS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BOURGEOIS (PRESIDENT)
(978) 534-6590
Entity
Organization
Contact information
Practice address
40 SPRUCE ST STE 202, LEOMINSTER, MA 01453
(702) 521-1133
Mailing address
40 SPRUCE ST STE 202, LEOMINSTER, MA 01453-3367
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
09/04/2024
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