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Individual

HEAWON KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
83 NEWBURY ST, BOSTON, MA 02116-3284
(508) 658-7444
Mailing address
83 NEWBURY ST, BOSTON, MA 02116-3284

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
34584TLG
CA
152W00000X
Optometrist
Primary
OPT5643
MA

Other

Enumeration date
08/05/2020
Last updated
11/08/2023
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