Individual
ANGELA K SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 FRANKLIN TPKE, MAHWAH, NJ 07430-1344
(201) 529-5930
Mailing address
113 ROUTE 59, SUFFERN, NY 10901-4905
(845) 608-1528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04145300
NJ
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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