| Doctor Name: | JENNY SONG |
| NPI Number: | 1124294558 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | SP010354 |
| Business Practice Address: | 1001 Pennington Rd Ewing, NJ - 086182600 |
| Business Phone Number: | 6098820777 |
| Business Fax Number: | |
| Mailing Address: | 1001 Pennington Rd, EWING |
| State: | NJ |
| Postal Code: | 086182600 |
| Phone Number: | 6098820777 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 04/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP010354 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |