Organization
YONG D SONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIA M SONG (OFFICE MANAGER)
(740) 353-3196
Entity
Organization
Contact information
Practice address
1611 27TH ST, BUILDING J SUITE 204, PORTSMOUTH, OH 45662
(740) 353-3196
(740) 353-1258
Mailing address
1611 27TH ST, BUILDING J SUITE 204, PORTSMOUTH, OH 45662
(740) 353-3196
(740) 353-1258
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36581
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223949
—
OH
01
—
64735285
KMA
KY
Enumeration date
01/23/2007
Last updated
06/23/2008
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