Individual
YOUNG DO SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 BUDLONG RD, CRANSTON, RI 02920-6337
(401) 943-4530
Mailing address
1011 RIVERSIDE AVE, ROSEVILLE, CA 95678-5134
(916) 784-4050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14324
RI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/25/2013
Last updated
08/18/2022
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