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Organization
VIBRANT LIFE MEDICINE, P.C.
Active
Organization
VIBRANT LIFE MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA YOON-JUNG SONG MD (PRESIDENT)
(201) 569-6190
Entity
Organization
Contact information
Practice address
286 ENGLE ST, ENGLEWOOD, NJ 07631-2405
(201) 569-6190
(201) 569-6940
Mailing address
286 ENGLE ST, ENGLEWOOD, NJ 07631-2405
(201) 569-6190
(201) 569-6940
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA07248000
NJ
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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