Individual
XIANYUAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD, CT 06102-5037
(860) 545-2249
(860) 545-2204
Mailing address
99 EAST RIVER DR, EAST HARTFORD, CT 06108-7301
(860) 282-0833
(860) 282-0170
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
47299
CT
207ZP0101X
Anatomic Pathology Physician
47299
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
47299
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2007
Last updated
11/30/2016
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