Individual
DR. KATHY SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
246 SOUTH AVE, SUITE 106, FANWOOD, NJ 07023-1220
(908) 366-7605
Mailing address
246 SOUTH AVE, #106, FANWOOD, NJ 07023
(908) 379-8178
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00643700
NJ
Other
Enumeration date
07/06/2011
Last updated
06/02/2017
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