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Individual

SUZANNE KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 937-3890
Mailing address
32 TILTON ST, NEW HAVEN, CT 06511-3543
(310) 279-6124

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2914
CT
152WL0500X
Low Vision Rehabilitation Optometrist
2914
CT

Other

Enumeration date
07/11/2014
Last updated
06/02/2021
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