| Haodong Song Md Pc | |
|
2698 Highway 516 Ste D Old Bridge NJ 08857-2305 | |
| (732) 707-3771 | |
| (732) 707-3772 |
| Full Name | Haodong Song Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2698 Highway 516 Ste D, Old Bridge, New Jersey |
| Authorized Official Name and Position | Haodong Song (DIRECTOR) |
| Authorized Official Contact | 7327073771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haodong Song Md Pc Po Box 5 Wickatunk NJ 07765-0005 Ph: (732) 707-3771 | Haodong Song Md Pc 2698 Highway 516 Ste D Old Bridge NJ 08857-2305 Ph: (732) 707-3771 |
| NPI Number | 1558529537 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 08/03/2009 |
| Medicare PECOS PAC ID | 3173693256 |
|---|---|
| Medicare Enrollment ID | O20080602000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558529537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08413000 (New Jersey) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA07955600 (New Jersey) | Primary |
| Provider Name | Haodong Song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285704486 PECOS PAC ID: 0749294551 Enrollment ID: I20060426000017 |
| Provider Name | Jian Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376718569 PECOS PAC ID: 5294880811 Enrollment ID: I20090903000533 |
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