Individual
DR. SONG WOO SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
400 FRANKLIN TPKE # 202, MAHWAH, NJ 07430
(201) 818-9114
(201) 934-8223
Mailing address
400 FRANKLIN TPKE # 202, MAHWAH, NJ 07430-3516
(201) 818-9114
(201) 934-8223
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006600
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00338700
NJ
Other
Enumeration date
07/14/2014
Last updated
12/12/2018
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