Individual
MR. JAMES FRANCIS MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDO
Contact information
Practice address
343 MAIN STREET, SOUTHBRIDGE SPECTACLE SHOP, SOUTHBRIDGE, MA 01550
(508) 765-9607
Mailing address
343 MAIN STREET, SOUTHBRIDGE, MA 01550
(508) 765-9607
(508) 765-9607
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
MA1543
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522191
—
MA
Enumeration date
12/18/2006
Last updated
07/08/2007
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