NPI 1003192667

Christopher I Song, MD

Practitioner Diagnostic Radiology Physician Hackensack, NJ

Practice location

Address: 30 Prospect Ave Radiology Dept, Hackensack, NJ 07601
Phone: (551) 996-2200
Mailing address: 130 Kinderkamack Rd STE 200, River Edge, NJ 07661-1931

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 25MA10114900 (NJ)

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Registry record

NPI: 1003192667
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2011
Record last updated: 18 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.