Individual
GRACE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-4296
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-4296
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5407
MA
Other
Enumeration date
04/28/2020
Last updated
08/10/2021
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