Individual
KEQIN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
14-22 PROSPECT ST., MIDSTATE MALL,, EAST BRUNSWICK, NJ 08816
(732) 257-3755
(609) 921-1827
Mailing address
14-22 PROSPECT ST., EAST BRUNSWICK, NJ 08816
(732) 257-3755
(609) 921-1827
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00576100
NJ
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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