person
Boram Song
Family Nurse Practitioner in Englewood, New Jersey
NPI 1063894475

Boram Song is a Family Nurse Practitioner based in Englewood, NJ and is specialized in Family. Boram Song practices in Englewood, NJ. The NPI Number for Boram Song is 1063894475 and holds a License No. F339122 (New Jersey).

The current practice location address for Boram Song is 200 Grand Ave Ste 201, Englewood, NJ and can be reached out via phone at 201-944-3800 and via fax at 201-944-3804. You can also correspond with Boram Song through the mailing address at 200 GRAND AVE STE 201, ENGLEWOOD, NJ - 07631-4363 (mailing address contact number: 201-944-3800).

Location: 200 Grand Ave Ste 201, Englewood, NJ, 07631-4363
person
Provider Profile Details
NPI Number
1063894475
Provider Name
Boram Song
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Grand Ave Ste 201, Englewood, NJ, 07631-4363
Phone Number
201-944-3800
Fax Number
201-944-3804
Provider Enumeration Date
06/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Grand Ave Ste 201
City
State
Zip
07631-4363
Phone Number
201-944-3800
Fax Number
201-944-3804
person
Provider Business Mailing Address Details
Address
200 Grand Ave Ste 201
City
State
Zip
07631-4363
Phone Number
201-944-3800
Fax Number
201-944-3804
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F339122 (New York)
Definition
Definition to come...
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