Individual
CHRISTOPHER SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 PERRYRIDGE RD, MEDICAL EDUCATION, GREENWICH, CT 06830-4608
(203) 863-3409
Mailing address
5 PERRYRIDGE RD, MEDICAL EDUCATION, GREENWICH, CT 06830-4608
(203) 863-3409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50910
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2009
Last updated
02/13/2013
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