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Individual

JACK SOONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
9100 FRANKLIN SQUARE DR, ROSEDALE, MD 21237-3903
(410) 887-0213
(410) 887-0265
Mailing address
626 WOOD GLENN CT, TIMONIUM, MD 21093-7005
(410) 560-6193

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0045934
MD

Other

Enumeration date
10/06/2006
Last updated
07/08/2007
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