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Individual

DR. STEVEN S SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
451 W CHEW ST, SUITE 409, ALLENTOWN, PA 18102-3472
(610) 770-3130
(610) 770-3452
Mailing address
421 W CHEW ST, ALLENTOWN, PA 18102-3406
(610) 776-5100
(610) 663-3113

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD031930L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007421990009
PA
01
0046631000
IBC
01
1542354
GATEWAY HEALTH PLAN
01
164649
UNISON
01
20040941
AMERIHEALTH MERCY
01
408101
HIGHMARK BLUE SHIELD
01
50049578
CBC
Enumeration date
11/10/2005
Last updated
12/11/2007
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