Individual
INHYANG SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
50 FOX RUN RD, SUITE 74, NEWINGTON, NH 03801-2851
(603) 431-5296
(603) 431-9659
Mailing address
60 SAPPHIRE ST, PORTSMOUTH, NH 03801-3513
(603) 431-6942
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0741
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09Y005049NH01
ANTHEMBLUECROSSBLUESHIELD
NH
01
—
204511
EYEMED/COLE PROVIDER
NH
01
—
679280
CIGNA HEALTHCARE, CONCORD
NH
01
—
7587471
CIGNA HEALTHCARE,NATIONAL
NH
Enumeration date
08/01/2006
Last updated
07/08/2007
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