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Individual

KUNCHANG SONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 520-1960
Mailing address
200 OLD PALISADE RD APT 30D, FORT LEE, NJ 07024-7063
(201) 916-0154

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
247217
NY
207ZC0500X
Cytopathology Physician
MD425765
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
247217
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD425765
PA

Other

Enumeration date
07/10/2006
Last updated
07/30/2019
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