Individual
RYAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2063 KLOCKNER RD, HAMILTON, NJ 08690-3414
(609) 586-9788
Mailing address
2063 KLOCKNER RD, HAMILTON, NJ 08690-3414
(609) 586-9788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
030386
NY
363A00000X
Physician Assistant
Primary
25MP00925700
NJ
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
05/11/2023
Last updated
07/14/2025
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