Individual
JULIE HYE YOUNG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
10642
RI
2085R0202X
Diagnostic Radiology Physician
209954
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD10642
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001988
NHPRI
—
01
—
003117232
CT MED ASSISTANCE
—
01
—
007009120
HOSPITALPIN
—
01
—
010642
TUFTS
—
01
—
0161853
MASSMEDICAID
—
01
—
10642
BLUESHIELD
—
01
—
1650203
UNITEDHEALTHPLANS
—
01
—
243021
RIHPILGRIM
—
01
—
300123642
RAILROAD MEDICARE
—
01
—
3080787
CIGNA
—
01
—
408549
BLUECHIP
—
01
—
7009119
RIMEDICAL ASSISTANCE
—
Enumeration date
10/18/2005
Last updated
03/18/2019
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