Individual
DR. JAMES YOUNGHAN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST., BOSTON, MA 02114
(617) 726-7717
Mailing address
55 FRUIT ST, YAWKEY 6E, BOSTON, MA 02114-2621
(617) 726-7717
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
238897
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2008
Last updated
07/13/2009
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