Agatha B Song (NPI# 1992925507, PAC ID# 0244121333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1992925507 |
| PAC ID by PECOS | 0244121333 |
| Professional Enrollment ID | I20160922000280 |
| Full Name | Agatha B Song |
| Organization Legal Name | EDISON KIDNEY CENTER AT WOODBRIDGE LIMITED LIABILITY COMPANY |
| Address |
423 Amboy Ave Woodbridge NJ 07095-2909 |
| Phone Number | 7326346188 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1976 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9638179773 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310024 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY |
| Address | Phone | Organization |
|---|---|---|
| 423 Amboy Ave, Woodbridge, NJ 07095-2909 | 7326346188 | EDISON KIDNEY CENTER AT WOODBRIDGE LIMITED LIABILITY COMPANY |
| Organization Legal Name | EDISON KIDNEY CENTER AT WOODBRIDGE LIMITED LIABILITY COMPANY |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angel Sulse | Family Medicine | Edison Kidney Center At Woodbridge Limited Liability Company | 423 Amboy Ave, Woodbridge, NJ 07095-2909 |
| Street Address |
423 AMBOY AVE |
| City | WOODBRIDGE |
| State | NJ |
| Zip | 07095-2909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angel Sulse | Family Medicine | Edison Kidney Center At Woodbridge Limited Liability Company | 423 Amboy Ave, Woodbridge, NJ 07095-2909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis A Friedman | Internal Medicine | Woodbridge Medical Associates,p.a. | 1000 Route 9 N, Suite 302, Woodbridge, NJ 07095 |
| Dingming Yang | Pathology | Woodbridge Medical Associates,p.a. | 1000 Route 9 N, Suite 302, Woodbridge, NJ 07095 |
| Jennifer Couso | Nurse Practitioner | Woodbridge Medical Associates,p.a. | 1000 Route 9 N, Suite 302, Woodbridge, NJ 07095 |
| Lauren M Maza | Internal Medicine | Woodbridge Medical Associates,p.a. | 1000 Route 9 N, Suite 302, Woodbridge, NJ 07095 |
| Mary T Odonnell | Internal Medicine | Woodbridge Medical Associates,p.a. | 1000 Route 9 N, Suite 302, Woodbridge, NJ 07095 |
| Seth Michael Webber | Gastroenterology | Woodbridge Medical Associates,p.a. | 1000 Route 9 N, Suite 302, Woodbridge, NJ 07095 |
| Riddhi Patel | Physical Therapy | Jag-one Physical Therapy LLC | 10 Woodbridge Ctr Dr, Suite 102, Woodbridge, NJ 07095-1153 |
| Mark Orillaza | Physical Therapy | Jag-one Physical Therapy LLC | 10 Woodbridge Ctr Dr, Suite 102, Woodbridge, NJ 07095-1153 |
| Olga Wiley | Family Practice | Robert Wood Johnson Physician Enterprise | 1 Woodbridge Ctr, Suite 400, Woodbridge, NJ 07095-1159 |
| Alex Sekirin | Physical Therapy | 1000 Us Hwy 9 N 202, Woodbridge, NJ 07095-1200 | |
| Find all physicians in zip 07095 | |||
| City | WOODBRIDGE |
| Zip Code | 07095 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WOODBRIDGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Agatha B Song.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.