Organization
WOO KWANG SONG MD GASTROENTEROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOO KWANG SONG MD (PHYSICIAN)
(856) 691-2552
Entity
Organization
Contact information
Practice address
1458 W LANDIS AVE, SUITE 1, VINELAND, NJ 08360-3427
(856) 691-2552
(856) 691-8885
Mailing address
1458 W LANDIS AVE, SUITE 1, VINELAND, NJ 08360-3427
(856) 691-2552
(856) 691-8885
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA04574900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5583501
—
NJ
Enumeration date
06/11/2006
Last updated
09/29/2010
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