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Organization
SONG PHYSICAL MEDICINE, PC
Active
Organization
SONG PHYSICAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG HO SONG D.O. (OWNER)
(732) 991-6882
Entity
Organization
Contact information
Practice address
15 S MAIN ST, EDISON, NJ 08837-3447
(732) 991-6882
(732) 906-0124
Mailing address
PO BOX 1241, EDISON, NJ 08818-1241
(732) 991-6882
(732) 906-0124
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
25MB07701500
NJ
Other
Enumeration date
06/02/2006
Last updated
08/22/2020
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