Individual provider · Type 1 NPI
Song Woo Seo, DPM
Foot & Ankle Surgery Podiatrist · Mahwah, NJ
NPI number
1467869255
Active
Practice location
400 Franklin Tpke # 202
Mahwah, NJ 07430
Fax (201) 934-8223
Other practice locations
- 1330 Cottman Ave, Philadelphia, PA 19111-3729 · (215) 728-9100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | SC006600 (PA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 25MD00338700 (NJ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1467869255
Song Woo Seo, DPM's National Provider Identifier is 1467869255, issued on Jul 14, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mahwah, NJ. The record was last updated on Dec 12, 2018.