Boram Song
Family NP · Englewood, NJ
UnclaimedNPI 1063894475
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2015-06-22
- Practice location
- Englewood, NJ
- Last NPPES update
- 2022-09-08
State licenses
- NJ · Nurse practitioner · NPPES self-reportedListed on NPI record
- NY · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.