Individual
DR. SONG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 VARNUM AVE, ANESTHETICS OF LOWELL, PC, LOWELL, MA 01854-2134
(978) 454-0941
(978) 458-0743
Mailing address
18 LOJKO DR, NASHUA, NH 03062-2298
(401) 490-2141
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
158907
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3205649
—
MA
Enumeration date
04/11/2006
Last updated
07/09/2007
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