Individual
QIAN RU CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
30 TURNPIKE RD STE 7, SOUTHBOROUGH, MA 01772-2115
(508) 481-8558
Mailing address
379 MAIN ST APT 504, WORCESTER, MA 01608-1782
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5252
MA
152WP0200X
Pediatric Optometrist
5252
MA
152WV0400X
Vision Therapy Optometrist
5252
MA
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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