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Individual

DR. HANNA HAEJO HAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
540 BERGEN BLVD, PALISADES PARK, NJ 07650-2322
(201) 461-3970
Mailing address
525 3RD ST, PALISADES PARK, NJ 07650-1803

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00626500
NJ
152W00000X
Optometrist
TUV007582-1
NY

Other

Enumeration date
07/06/2010
Last updated
03/31/2011
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