Individual
TAE KYUNG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, ROOM H3600, STANFORD, CA 94305-2200
(650) 723-3639
Mailing address
300 PASTEUR DR, ROOM H3600, STANFORD, CA 94305-2200
(650) 723-3639
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A81297
CA
Other
Enumeration date
09/28/2007
Last updated
11/30/2021
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