Individual
DR. IN SOOK SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
104545
NY
2085R0202X
Diagnostic Radiology Physician
25MA29697
NJ
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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