Individual
KENNETH A SONGY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-6204
(301) 997-6507
Mailing address
PO BOX 824339, PHILADELPHIA, PA 19182-4339
(866) 709-4485
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0066812
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024260800
—
MD
01
—
P00616297
RAILROAD MEDICARE
MD
Enumeration date
11/01/2006
Last updated
09/24/2012
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