Individual provider · Type 1 NPI

Boram Song

Family Nurse Practitioner · Englewood, NJ

NPI number 1063894475 Active

Practice location

200 Grand Ave Ste 201
Englewood, NJ 07631-4363

Call (201) 944-3800 Map

Fax (201) 944-3804

Other practice locations

  • 243 Chestnut St, Newark, NJ 07105-6501 · (201) 944-3800

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF339122 (NY)
Family Nurse Practitioner Primary 363LF0000X26NJ00890500 (NJ)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

Other family nurse practitioner providers in Englewood

See all in Englewood →

About NPI 1063894475

Boram Song's National Provider Identifier is 1063894475, issued on Jun 22, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Englewood, NJ. The record was last updated on Sep 8, 2022.