Dr. Jinsup Song
Podiatrist Primary Podiatric Medicine
Temple University Foot And Ankle Institute 8th At Race Street
Philadelphia
, Pennsylvania 19107-2496
Dr. Jinsup Song
Podiatrist Primary Podiatric Medicine
Temple University Foot And Ankle Institute 8th At Race Street
Philadelphia
, Pennsylvania 19107-2496
(215) 629-0716
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Jinsup Song
- Temple University Foot And Ankle Institute Po Box 827282
- Philadelphia, PA
- Zip : 19182-0001
- Fax : (215) 629-0716
- Phone : (215) 238-6600
Second Address
- Dr. Jinsup Song
- Temple University Foot And Ankle Institute 8th At Race Street
- Philadelphia, PA
- Zip : 19107-2496
- Fax : (215) 629-4905
- Phone : (215) 238-6600
Reviews
FAQs
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What type of doctor is Dr. Jinsup Song
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Is Dr. Jinsup Song a sole practitioner?
Is Dr. Jinsup Song accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC004393L | PA |
| Y | 222Z00000X | Podiatrist | SC004393L | PA |
| N | 213EP1101X | Primary Podiatric Medicine | SC004393L | PA |
National Provider Identifier
| NPI | 1295721777 |
|---|---|
| Provider Name | Dr. Jinsup Song |
| First Address | Philadelphia, PA 19182-0001 |
| Second Address | Philadelphia, PA 19107-2496 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2005 |
| Last Update Date | 07/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0018076090003 | (05) | PA |
| 0499950000 | KEYSTONE HEALTH PLAN HMO (01) | PA |
| 1125735 | KEYSTONE MERCY (01) | PA |
| 1807609 | (05) | PA |
| 231365971 | HUMANA (01) | PA |
| 231365971 | UNITED HEALTH CARE (01) | PA |
| 231365971071 | TRI-CARE (01) | PA |
| 2353876 | AETNA (01) | PA |
| 28824 | HEALTH PARTNERS (01) | PA |
| 3Y2326 | HEALTH NET (01) | PA |
| 435767 | HEALTH AMERICA HEALTH ASSURANCE (01) | PA |
| 480030054 | RAILROAD MEDICARE (01) | PA |
| 8259607 | NJ MEDICAL ASSISTANCE (01) | NJ |
| 893038 | KEYSTONE HEALTH PLAN PPO (01) | PA |
| 9231 | ELDER HEALTH / BRAVO (01) | PA |
| H19826 | INTER-CITY (01) | PA |
| P2665731 | OXFORD (01) | PA |
| S0819326 | BLUE SHIELD OF PA (01) | PA |
| U79866 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.