Individual
HAYNE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
12520 WOODCOCK LN, HERNDON, VA 20171-2501
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0116038342
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2023
Last updated
08/21/2024
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