| Woo Kwang Song Md Gastroenterology Llc | |
|
1458 W Landis Ave Suite 1 Vineland NJ 08360-3427 | |
| (856) 691-2552 | |
| (856) 691-8885 |
| Full Name | Woo Kwang Song Md Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1458 W Landis Ave, Vineland, New Jersey |
| Authorized Official Name and Position | Woo Kwang Song (PHYSICIAN) |
| Authorized Official Contact | 8566912552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woo Kwang Song Md Gastroenterology Llc 1458 W Landis Ave Suite 1 Vineland NJ 08360-3427 Ph: (856) 691-2552 | Woo Kwang Song Md Gastroenterology Llc 1458 W Landis Ave Suite 1 Vineland NJ 08360-3427 Ph: (856) 691-2552 |
| NPI Number | 1316989759 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316989759 | NPI | - | NPPES |
| 5583501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA04574900 (New Jersey) | Primary |
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