Individual
DAVID SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 CHURCH ST S STE 305, NEW HAVEN, CT 06519-1717
(203) 785-4445
(203) 785-7891
Mailing address
2 CHURCH ST S STE 305, NEW HAVEN, CT 06519-1717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6605
CT
Other
Enumeration date
05/23/2024
Last updated
03/18/2026
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