Individual
MICHAEL SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N FRANKLIN TPKE, SUITE 206, RAMSEY, NJ 07446-1177
(201) 962-7282
(201) 962-7283
Mailing address
255 W MICHIGAN AVE, P. O. BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06850400
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA06850400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01664740
—
NY
Enumeration date
09/21/2006
Last updated
06/29/2012
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