Individual
KEITH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 VERONICA AVE STE 205, SOMERSET, NJ 08873-3491
(732) 640-5316
(800) 689-2361
Mailing address
81 VERONICA AVE STE 205, SOMERSET, NJ 08873-3491
(732) 640-5316
(800) 689-2361
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA10211600
NJ
208600000X
Surgery Physician
K44864297106862
NJ
208600000X
Surgery Physician
MD467059
PA
Other
Enumeration date
08/20/2014
Last updated
06/23/2021
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