Individual
WAE Y. SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
158 MARKET ST, PATERSON, NJ 07505-1702
(973) 684-1545
(973) 345-6120
Mailing address
158 MARKET ST, PATERSON, NJ 07505-1702
(973) 684-1545
(973) 345-6120
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
27OA00520700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5257905
—
NJ
Enumeration date
02/08/2006
Last updated
03/13/2008
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