Active NPIIndividual provider

Dr. Song W Seo, DPM

Podiatrist, Foot & Ankle Surgery in Mahwah, New Jersey

NPI Number1467869255
Practice location
400 Franklin Tpke # 202, Mahwah, NJ 07430
Fax
201-934-8223
Last updated
December 12, 2018

Song Woo Seo is a Podiatrist, Foot & Ankle Surgery based in Mahwah, NJ. Song Woo Seo practices in Mahwah, NJ and has the professional credentials of DPM. The NPI Number for Song Woo Seo is 1467869255 and holds a License No. SC006600 (PA). The current practice location address for Song Woo Seo is 400 Franklin Tpke # 202, Mahwah, NJ 07430 and can be reached out via phone at 201-818-9114 and via fax at 201-934-8223.

Provider Profile Details

NPI Number
1467869255
Provider Name
Song Woo Seo
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
400 Franklin Tpke # 202, Mahwah, NJ 07430
Phone Number
201-818-9114
Fax Number
201-934-8223
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2014
Last Update Date
December 12, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Franklin Tpke # 202
Mahwah, NJ 07430
City
Mahwah
Zip
07430
Phone Number
201-818-9114
Fax Number
201-934-8223
Mahwah, NJ 07430Get directions →

Provider Business Mailing Address Details

Address
400 Franklin Tpke # 202
Mahwah, NJ 07430-3516
City
Mahwah
State
NJ
Zip
07430-3516
Phone Number
201-818-9114
Fax Number
201-934-8223

License Information

License Number (1)
SC006600
License State (1)
PA
Taxonomy (1)
Podiatrist · 213E00000X
License Number (2)
25MD00338700
License State (2)
NJ
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Podiatrist, Foot & Ankle Surgery providers near Mahwah, NJ

View all Podiatrist, Foot & Ankle Surgery providers in Mahwah →

Frequently Asked Questions

What is the NPI number of Dr. Song W Seo, DPM?

The NPI number of Dr. Song W Seo, DPM is 1467869255. It was assigned on July 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Song W Seo, DPM?

Dr. Song W Seo, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in PA under license number SC006600.

Where does Dr. Song W Seo, DPM practice?

The practice location is 400 Franklin Tpke # 202, Mahwah, NJ 07430. The office can be reached at 201-818-9114 (phone) or 201-934-8223 (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 1467869255 directly on the NPPES registry website.

Browse related providers