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Contact Information

SONG W SEO, DPM
400 FRANKLIN TPKE # 202
MAHWAH, NJ07430
 Phone: 201-818-9114
 Fax: 201-934-8223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SONG W SEO · (Female)

NPI # 1467869255
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/14/2014
Last updated 12/12/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MD00338700
  • PA License # SC006600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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