Individual
MRS. STEPHANIE INGRAM SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
337 MARKET ST, SUITE 1, SADDLE BROOK, NJ 07663-5313
(201) 368-3800
(201) 368-9787
Mailing address
337 MARKET ST, SUITE 1, SADDLE BROOK, NJ 07663-5313
(201) 368-3800
(201) 368-9787
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5305
NY
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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