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Organization
YONG JAE SONG MD INC
Active
Organization
YONG JAE SONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG J. SONG M.D. (OWNER)
(440) 843-7772
Entity
Organization
Contact information
Practice address
6731 RIDGE RD, SUITE 302, PARMA, OH 44129-5708
(440) 843-7772
(440) 845-0430
Mailing address
6731 RIDGE RD, SUITE 302, PARMA, OH 44129-5708
(440) 843-7772
(440) 845-0430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0897589
—
OH
Enumeration date
01/03/2007
Last updated
05/13/2010
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