Individual
JOY SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(732) 668-8433
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT234365
PA
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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