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Individual

MICHAEL SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
317 GEORGE ST, NEW BRUNSWICK, NJ 08901-2008
(732) 235-7667
Mailing address
317 GEORGE ST, NEW BRUNSWICK, NJ 08901-2008

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11410100
NJ

Other

Enumeration date
03/28/2019
Last updated
10/24/2022
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