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Individual

DR. DAVID SONG KO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
330 POMFRET ST, PUTNAM, CT 06260-3803
(860) 928-2736
Mailing address
PO BOX 746871, ATLANTA, GA 30374-6871

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102205469
VA
207Q00000X
Family Medicine Physician
82804
CT
207Q00000X
Family Medicine Physician
OP61443176
WA

Other

Enumeration date
05/27/2015
Last updated
04/21/2026
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