Individual
CAROLYN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118
(617) 638-8000
Mailing address
72 E CONCORD ST, BOSTON, MA 02118-2642
(617) 638-8442
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
320140
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2018
Last updated
08/14/2024
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