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Organization
JAMES J PETERS VAMC
Active
Organization
JAMES J PETERS VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IN SOOK SONG M.D. (ATTENDING PHYSICIAN)
(718) 584-9000
Entity
Organization
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
115 CHURCH ST., ALPINE, NJ 07620-0710
(201) 768-1136
(201) 768-1506
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
104545
NY
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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