Individual
DANIEL SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 N BROADWAY, SUITE 1440, BALTIMORE, MD 21231-1146
(401) 502-5875
Mailing address
PO BOX 64474, BALTIMORE, MD 21264-4474
(410) 502-5875
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D61866
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404999300
—
MD
Enumeration date
07/04/2006
Last updated
08/07/2020
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