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Individual

ANJELI SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-7100
(814) 272-6519
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(814) 272-7100
(814) 272-6519

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C4585
KY
2084N0600X
Clinical Neurophysiology Physician
C4585
KY
2084N0600X
Clinical Neurophysiology Physician
MD490335C
PA
2084N0600X
Clinical Neurophysiology Physician
ME174303
FL

Other

Enumeration date
04/09/2020
Last updated
10/29/2025
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