Organization
HAODONG SONG MD PC
Active
Organization
HAODONG SONG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAODONG SONG M.D. (DIRECTOR)
(732) 707-3771
Entity
Organization
Contact information
Practice address
2698 HIGHWAY 516 STE D, OLD BRIDGE, NJ 08857-2305
(732) 707-3771
(732) 707-3772
Mailing address
PO BOX 5, WICKATUNK, NJ 07765-0005
(732) 707-3771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08413000
NJ
2084N0400X
Neurology Physician
Primary
25MA07955600
NJ
Other
Enumeration date
05/27/2008
Last updated
08/03/2009
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