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Individual

DR. EVAN GEE YOUNG JOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
215 MAIN ST, FORT LEE, NJ 07024-5701
(201) 944-9889
(201) 944-9989
Mailing address
215 MAIN ST, FORT LEE, NJ 07024-5701
(201) 944-9889
(201) 944-9989

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00581500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0053520
NJ
Enumeration date
06/15/2007
Last updated
07/08/2007
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