Individual
DR. SANG HO SONG
Active
Individual
DR. SANG HO SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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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