Individual
PHILLIP C SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3557
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3557
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
227583
MA
Other
Enumeration date
06/23/2006
Last updated
05/10/2017
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