Individual
MAXIMILLIAN C SOONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-8638
(781) 744-4706
Mailing address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-8638
(781) 744-4706
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
235610
MA
207XS0106X
Orthopaedic Hand Surgery Physician
235610
MA
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
235610
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080017A
—
MA
Enumeration date
02/26/2007
Last updated
03/12/2019
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