Individual
DR. SANG HO SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
241 FORSGATE DR, 107, JAMESBURG, NJ 08831-1385
(732) 660-8715
(732) 906-0124
Mailing address
241 FORSGATE DR STE 107, JAMESBURG, NJ 08831-1385
(732) 660-8715
(732) 906-0124
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
231625
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB07701500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08485500
CDS
NJ
Enumeration date
12/07/2005
Last updated
03/07/2023
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