Dr. Sungjin Al Song
Otolaryngologist (ENT Doctor)
1 Jarrett White Rd
Tripler Amc
, Hawaii 96859-5001
Dr. Sungjin Al Song
Otolaryngologist (ENT Doctor)
1 Jarrett White Rd
Tripler Amc
, Hawaii 96859-5001
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Sungjin Al Song
- 1 Jarrett White Rd
- Tripler Amc, HI
- Zip : 96859-5001
- Phone :
Second Address
- Dr. Sungjin Al Song
- 1 Jarrett White Rd
- Tripler Amc, HI
- Zip : 96859-5001
- Phone : (808) 433-5334
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD-17856 | HI |
National Provider Identifier
| NPI | 1053759746 |
|---|---|
| Provider Name | Dr. Sungjin Al Song |
| First Address | Tripler Amc, HI 96859-5001 |
| Second Address | Tripler Amc, HI 96859-5001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2013 |
| Last Update Date | 24/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| VAD000 | (02) | HI |
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.