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Individual
CHERRY SONG
Active
Individual
CHERRY SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
P9261
TX
2086S0102X
Surgical Critical Care Physician
03713
KY
2086S0102X
Surgical Critical Care Physician
Primary
25MB09755200
NJ
2086S0102X
Surgical Critical Care Physician
280069
NY
Other
Enumeration date
05/19/2009
Last updated
01/31/2024
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