Individual
JU-SUNG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
960 NORTH AVE, BRIDGEPORT, CT 06606-5750
(203) 334-6978
Mailing address
960 NORTH AVE, BRIDGEPORT, CT 06606-5750
(203) 334-6978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT0012941
CT
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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