Individual
JULEE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1945 STATE ROUTE 33 # ROSA105D, NEPTUNE, NJ 07753-4859
(732) 775-5500
Mailing address
1945 STATE ROUTE 33 # ROSA105D, NEPTUNE, NJ 07753-4859
(732) 776-4930
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA11611900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA11611900
MEDICAL LICENSE
NJ
Enumeration date
03/22/2018
Last updated
10/24/2022
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