Ms. Mijung J Song, DPT
Physical Therapist in Fair Lawn, New Jersey
1316278344- Practice location
- 19-21 Fair Lawn Ave, Suite 1C, Fair Lawn, NJ 07410-2331
- Phone
- 201-796-7772
- Fax
- —
- Last updated
- January 14, 2010
Mijung Judi Song is a Physical Therapist based in Fair Lawn, NJ. Mijung Judi Song practices in Fair Lawn, NJ and has the professional credentials of DPT. The NPI Number for Mijung Judi Song is 1316278344 and holds a License No. 40QA01302400 (NJ). The current practice location address for Mijung Judi Song is 19-21 Fair Lawn Ave, Suite 1C, Fair Lawn, NJ 07410-2331 and can be reached out via phone at 201-796-7772.
Provider Profile Details
- NPI Number
- 1316278344
- Provider Name
- Mijung Judi Song
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 19-21 Fair Lawn Ave, Suite 1C, Fair Lawn, NJ 07410-2331
- Phone Number
- 201-796-7772
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 14, 2010
- Last Update Date
- January 14, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19-21 Fair Lawn Ave
Suite 1C
Fair Lawn, NJ 07410-2331 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-2331
- Phone Number
- 201-796-7772
Provider Business Mailing Address Details
- Address
- 453 5TH St
Palisades Park, NJ 07650-2317 - City
- Palisades Park
- State
- NJ
- Zip
- 07650-2317
License Information
- License Number
- 40QA01302400
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Mijung J Song, DPT?
The NPI number of Ms. Mijung J Song, DPT is 1316278344. It was assigned on January 14, 2010 and is currently active in the NPPES registry.
What is the specialty of Ms. Mijung J Song, DPT?
Ms. Mijung J Song, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01302400.
Where does Ms. Mijung J Song, DPT practice?
The practice location is 19-21 Fair Lawn Ave, Suite 1C, Fair Lawn, NJ 07410-2331. The office can be reached at 201-796-7772 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316278344 directly on the NPPES registry website.