Individual
HAODONG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2698 HIGHWAY 516 STE D, OLD BRIDGE, NJ 08857-2305
(732) 707-3771
(732) 707-3772
Mailing address
PO BOX 5, WICKATUNK, NJ 07765-0005
(732) 707-3771
(732) 707-3772
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA07955600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111875
GHI
—
01
—
2568130
UNITED HEALTHCARE
—
01
—
3K3762
HEALTHNET
—
01
—
7927775
AETNA
—
01
—
8680274
CIGNA
—
01
—
P3662677
OXFORD
—
Enumeration date
11/08/2006
Last updated
07/24/2012
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