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Individual

LIQUN SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
135 DIVISION ST, ANSONIA, CT 06401-2135
(203) 735-3500
(203) 735-0505
Mailing address
135 DIVISION ST, ANSONIA, CT 06401-2135
(203) 735-3500
(203) 735-0505

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
044563
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001445635
CT
Enumeration date
12/21/2006
Last updated
12/11/2012
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