Search › Maryland › 111N00000X
Jea Sub Song
NPI 1942682174 · on the registry since 2015
Practice
- Address
- 3460 Ellicott Center Dr Ste 102
Ellicott City, MD 21043 - Phone
- (410) 465-3074
- Organisation at this address
- John Murphy Dpm, Llc
Mercy Health Solutions Llc
Mercy Health Solutions Llc
Maryland Podiatry Surgical Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 9192 Red Branch Rd Ste 200, Columbia, MD
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 171100000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland