Individual
PAIGE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(667) 234-6000
Mailing address
12709 HALL SHOP RD, HIGHLAND, MD 20777-9547
(301) 704-0215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C08797
MD
Other
Enumeration date
02/02/2023
Last updated
03/21/2023
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