Song, Boram

Song, Boram is an individual health care provider with primary practice located at 200 Grand Ave Ste 201 , Englewood NJ 07631-4363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Song, Boram can be contacted via phone (201) 944-3800.

Contact Information

Primary practice address
200 Grand Ave Ste 201 Englewood NJ 07631-4363
Phone: (201) 944-3800
Fax: (201) 944-3804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F339122 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00890500 New Jersey

Profile Details

NPI number 1063894475
LBN Legal business name Song, Boram
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2015
Last updated Sep 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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