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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | KI I SONG · SONG, KI I. | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | UPIN: D18565 | [sources] | |||
| First name | KI | [sources] | |||
| Last name | SONG | [sources] | |||
| Middle name | I | [sources] | |||
| NPI | 1720138936 | [sources] | |||
| Sector | MD | [sources] | |||
| Position | INTERNAL MEDICINE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 17 STRATFORD CT, TOWNSHIP OF WASHINGT, NJ 07676 · 62 COTTAGE STREET, JERSEY CITY, NJ 07306 · TOWNSHIP OF WASHINGTON, NJ 07676, USA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
People and companies excluded from Federally funded health care programs
United States · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-mednj-21655632f49a0ab5088e7cd696bd18316131c40b · us-fed-excl-ki-i-song-07676-township-of-washington · us-fed-excl-ki-i-song-07676-township-of-washingtFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| 62 COTTAGE STREET, JERSEY CITY, NJ 07306 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | HHS | Reciprocal | - |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |