Individual
DR. CHRISTOPHER SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 WARREN AVE, EAST PROVIDENCE, RI 02914-1432
(401) 606-1004
(401) 606-1153
Mailing address
200 EXCHANGE ST, UNIT 814, PROVIDENCE, RI 02903-2621
(518) 429-3083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
253136
MA
207RC0000X
Cardiovascular Disease Physician
Primary
MD14976
RI
Other
Enumeration date
04/13/2009
Last updated
05/05/2016
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