| Yong Jae Song Md Inc | |
|
6731 Ridge Rd Suite 302 Parma OH 44129-5708 | |
| (440) 843-7772 | |
| (440) 845-0430 |
| Full Name | Yong Jae Song Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6731 Ridge Rd, Parma, Ohio |
| Authorized Official Name and Position | Yong J. Song (OWNER) |
| Authorized Official Contact | 4408437772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yong Jae Song Md Inc 6731 Ridge Rd Suite 302 Parma OH 44129-5708 Ph: (440) 843-7772 | Yong Jae Song Md Inc 6731 Ridge Rd Suite 302 Parma OH 44129-5708 Ph: (440) 843-7772 |
| NPI Number | 1053478297 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 05/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053478297 | NPI | - | NPPES |
| 0897589 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Primary |
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