Organization
KI IN SONG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KI IN SONG MD (PRESIDENT)
(201) 653-0555
Entity
Organization
Contact information
Practice address
62 COTTAGE ST, JERSEY CITY, NJ 07306
(201) 653-0555
Mailing address
62 COTTAGE ST, JERSEY CITY, NJ 07306
(201) 653-0555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2924102
—
NJ
Enumeration date
11/20/2006
Last updated
08/22/2020
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