Individual
DR. WOO KWANG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1458 W LANDIS AVE, SUITE 1, VINELAND, NJ 08360-3427
(856) 691-2552
(856) 691-8885
Mailing address
1458 W LANDIS AVE, SUITE 1, VINELAND, NJ 08360-3427
(856) 691-2552
(856) 691-8885
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA04574900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5583501
—
NJ
Enumeration date
07/21/2005
Last updated
11/07/2011
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