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Individual

NANHEE SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25 E WILLOW ST, MILLBURN, NJ 07041-1416
(973) 379-5055
Mailing address
3198 GRAND CONCOURSE, BRONX, NY 10458-1000
(718) 618-0401
(718) 795-4394

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00824900
NJ
363LF0000X
Family Nurse Practitioner
F341250
NY

Other

Enumeration date
03/07/2017
Last updated
02/27/2025
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