# CHERRY SONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043445075
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | P9261 | TX | — |
| 2086S0102X | Surgical Critical Care Physician | 03713 | KY | — |
| 2086S0102X | Surgical Critical Care Physician | 25MB09755200 | NJ | Yes |
| 2086S0102X | Surgical Critical Care Physician | 280069 | NY | — |

## Other

- **Enumeration date:** 05/19/2009
- **Last updated:** 01/31/2024