Individual
JOYCE SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15001 SHADY GROVE RD STE 300, ROCKVILLE, MD 20850-6353
(301) 340-3252
(202) 823-4805
Mailing address
15001 SHADY GROVE RD STE 300, ROCKVILLE, MD 20850-6353
(301) 340-3252
(202) 823-4805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0010183
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
557137500
—
MD
Enumeration date
09/02/2025
Last updated
11/06/2025
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