| Song Primary Care LLC | |
|
239 New Rd Building B Suite 105 Parsippany NJ 07054-4274 | |
| (973) 727-9654 | |
| (973) 808-8816 |
| Full Name | Song Primary Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 239 New Rd, Parsippany, New Jersey |
| Authorized Official Name and Position | Hongya Song (SOLE MEMBER) |
| Authorized Official Contact | 9737279654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Song Primary Care LLC 10 Bromley Dr Parsippany NJ 07054-1406 | Song Primary Care LLC 239 New Rd Building B Suite 105 Parsippany NJ 07054-4274 Ph: (973) 727-9654 |
| NPI Number | 1598828683 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 02/28/2012 |
| Medicare PECOS PAC ID | 4981707478 |
|---|---|
| Medicare Enrollment ID | O20070322000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598828683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Hongya Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295756625 PECOS PAC ID: 0244333847 Enrollment ID: I20070320000600 |
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