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Dr. Diane Song, DDS
Student in an Organized Health Care Education/Training Program in Edison, New Jersey
NPI 1164161709

Diane Song is a Student in an Organized Health Care Education/Training Program based in Secaucus, NJ. Diane Song practices in Edison, NJ and has the professional credentials of DDS. The NPI Number for Diane Song is 1164161709 and holds a License No. (New Jersey).

The current practice location address for Diane Song is 65 James St, Edison, NJ and can be reached out via phone at 732-321-7000.

Location: 65 James St, Edison, NJ, 07094-3644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164161709
Provider Name
Diane Song
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
65 James St, Edison, NJ, 07094-3644
Phone Number
732-321-7000
Fax Number
Provider Enumeration Date
06/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
65 James St
City
Edison
State
New Jersey
Zip
08820-3947
Phone Number
732-321-7000
Fax Number
person
Provider Business Mailing Address Details
Address
65 James St
City
Edison
State
New Jersey
Zip
08820-3947
Phone Number
732-321-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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