Individual
YE EUN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
32 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-0547
Mailing address
15 MELLEN ST, CAMBRIDGE, MA 02138-2757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2328855
MA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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