Active NPIOrganization

Woo Kwang Song MD Gastroenterology LLC

Internal Medicine, Gastroenterology in Vineland, New Jersey

NPI Number1316989759
Practice location
1458 W Landis Ave, Suite 1, Vineland, NJ 08360-3427
Fax
856-691-8885
Last updated
September 29, 2010

Woo Kwang Song MD Gastroenterology LLC is a healthcare organization based in Vineland, NJ. Woo Kwang Song MD Gastroenterology LLC practices in Vineland, NJ. The NPI Number for Woo Kwang Song MD Gastroenterology LLC is 1316989759 and holds a License No. 25MA04574900 (NJ). The current practice location address for Woo Kwang Song MD Gastroenterology LLC is 1458 W Landis Ave, Suite 1, Vineland, NJ 08360-3427 and can be reached out via phone at 856-691-2552 and via fax at 856-691-8885.

Provider Profile Details

NPI Number
1316989759
Provider Name
Woo Kwang Song MD Gastroenterology LLC
Provider Entity Type
Organization
Address
1458 W Landis Ave, Suite 1, Vineland, NJ 08360-3427
Phone Number
856-691-2552
Fax Number
856-691-8885
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Dr. Woo Kwang Song, MD · Physician · 856-691-2552
Provider Enumeration Date
June 11, 2006
Last Update Date
September 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1458 W Landis Ave
Suite 1
Vineland, NJ 08360-3427
Zip
08360-3427
Phone Number
856-691-2552
Fax Number
856-691-8885
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
1458 W Landis Ave
Suite 1
Vineland, NJ 08360-3427
City
Vineland
State
NJ
Zip
08360-3427
Phone Number
856-691-2552
Fax Number
856-691-8885

License Information

License Number
25MA04574900
License State
NJ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Woo Kwang Song MD Gastroenterology LLC?

The NPI number of Woo Kwang Song MD Gastroenterology LLC is 1316989759. It was assigned on June 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Woo Kwang Song MD Gastroenterology LLC?

Woo Kwang Song MD Gastroenterology LLC is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA04574900.

Where does Woo Kwang Song MD Gastroenterology LLC practice?

The practice location is 1458 W Landis Ave, Suite 1, Vineland, NJ 08360-3427. The office can be reached at 856-691-2552 (phone) or 856-691-8885 (fax).

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 1316989759 directly on the NPPES registry website.

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