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Individual
DR. JAEHA SONG
Active
Individual
DR. JAEHA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD-000896
AZ
213E00000X
Podiatrist
SC006500
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD-000896
AZ
282N00000X
General Acute Care Hospital
65P97423
NY
Other
Enumeration date
07/09/2014
Last updated
06/24/2026
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