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Organization
KI IN SONG MD PA
Active
Organization
KI IN SONG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KI IN SONG MD (PRESIDENT)
(201) 653-0555
Entity
Organization
Contact information
Practice address
62 COTTAGE ST, JERSEY CITY, NJ 07306
(201) 653-0555
Mailing address
62 COTTAGE ST, JERSEY CITY, NJ 07306
(201) 653-0555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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