| Doctor Name: | MRS. STEPHANIE INGRAM SONG |
| NPI Number: | 1396889705 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, CDE |
| License Number: | 5305 |
| Business Practice Address: | 337 Market St Suite 1 Saddle Brook, NJ - 076635313 |
| Business Phone Number: | 2013683800 |
| Business Fax Number: | 2013689787 |
| Mailing Address: | 337 Market St, Suite 1 SADDLE BROOK |
| State: | NJ |
| Postal Code: | 076635313 |
| Phone Number: | 2013683800 |
| Fax Number: | 2013689787 |
| NPI Enumeration Date: | 02/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 5305 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |