Individual
DR. ELISA HAE-JUNG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 EL CAMINO REAL, SUITE 101, BELMONT, CA 94002-3948
(650) 595-5437
(650) 595-5438
Mailing address
1085 HEWITT DR, SAN CARLOS, CA 94070-3650
(650) 654-9345
(650) 654-9345
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A68766
CA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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