Search › New Jersey › 152W00000X
Keqin Song, O.D
NPI 1316171077 · on the registry since 2009 · sole proprietor
Practice
- Address
- 14-22 Prospect St.
Midstate Mall,
East Brunswick, NJ 08816 - Phone
- (732) 257-3755
- Fax
- (609) 921-1827
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey