| | Physician Last Name: | Song |
| | Physician First Name: | Agnes |
| | Physician Middle Name: | |
| | Address: | 1098 Anderson Avenue
Fort Lee, New Jersey 07024 |
| | License Number: | 132555 |
| | License Type: | MD |
| | Year of Birth: |
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| | Effective Date: | 02/18/1993 |
| | Action Description for DOH Webpage: | Probation with participation in Phase I and Phase II of the Physician Prescribed Educational Program.The physician has satisfied the terms of the order. |
| | Misconduct Description for DOH Webpage: | The Review Board sustained the Hearing Committee's November 12, 1992 determination finding that the physician did not intentionally fail to comply with previously imposed probation terms but was in need of retraining |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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