Individual
YU SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
214 WREN ST, WEST ROXBURY, MA 02132-2716
(781) 475-6222
Mailing address
214 WREN ST, WEST ROXBURY, MA 02132-2716
(617) 783-0500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4793
MA
152W00000X
Optometrist
OEG002087
PA
Other
Enumeration date
07/03/2008
Last updated
05/25/2016
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