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Dr. Jinsup Song, DPMPHD
Primary Podiatric Medicine Podiatrist in Philadelphia, Pennsylvania
NPI 1295721777

Jinsup Song is a Primary Podiatric Medicine Podiatrist based in New York, PA and is specialized in Primary Podiatric Medicine. Jinsup Song practices in Philadelphia, PA and has the professional credentials of DPMPHD. The NPI Number for Jinsup Song is 1295721777 and holds a License No. SC004393L (Pennsylvania).

The current practice location address for Jinsup Song is 148 N 8Th St, Philadelphia, PA and can be reached out via phone at 215-777-5808 and via fax at 215-777-5825. You can also correspond with Jinsup Song through the mailing address at TEMPLE UNIVERSITY FOOT AND ANKLE INSTITUTE PO BOX 22433, NEW YORK, NY - 10087-2433 (mailing address contact number: 215-777-5808).

Location: 148 N 8Th St, Philadelphia, PA, 10087-2433
person
Provider Profile Details
NPI Number
1295721777
Provider Name
Jinsup Song
Credential
DPMPHD
Provider Entity Type
Individual
Gender
Male
Address
148 N 8Th St, Philadelphia, PA, 10087-2433
Phone Number
215-777-5808
Fax Number
215-777-5825
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0018076090003 05 PA
8259607 01 NJ NJ MEDICAL ASSISTANCE
893038 01 PA KEYSTONE HEALTH PLAN PPO
1125735 01 PA KEYSTONE MERCY
231365971 01 PA HUMANA
1807609 05 PA
P2665731 01 PA OXFORD
0499950000 01 PA KEYSTONE HEALTH PLAN HMO
231365971071 01 PA TRI-CARE
S0819326 01 PA BLUE SHIELD OF PA
231365971 01 PA UNITED HEALTH CARE
9231 01 PA ELDER HEALTH / BRAVO
H19826 01 PA INTER-CITY
2353876 01 PA AETNA
28824 01 PA HEALTH PARTNERS
480030054 01 PA RAILROAD MEDICARE
3Y2326 01 PA HEALTH NET
435767 01 PA HEALTH AMERICA HEALTH ASSURANCE
institution
Provider Business Practice Location Address Details
Address
148 N 8Th St
City
State
Zip
19107-2496
Phone Number
215-777-5808
Fax Number
215-777-5825
person
Provider Business Mailing Address Details
Address
148 N 8Th St
City
State
Zip
19107-2496
Phone Number
215-777-5808
Fax Number
215-777-5825
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
SC004393L (Pennsylvania)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
SC004393L (Pennsylvania)
Definition
Definition to come...
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