Individual
SERAFINA AUSTEN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47221
WA
207R00000X
Internal Medicine Physician
MD36804
TN
208M00000X
Hospitalist Physician
Primary
MD00047221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009997745
—
AL
05
—
3878409
—
TN
01
—
4101783
BCBS OF TENNESSEE
TN
05
—
8494569
—
WA
05
—
879167887A
—
GA
Enumeration date
06/21/2006
Last updated
05/06/2021
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