Individual
JUDY H SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1145 19TH ST NW, SUITE 205, WASHINGTON, DC 20036-3701
(301) 279-4499
(301) 279-4489
Mailing address
PO BOX 4196, COLUMBUS, GA 31914-0196
(706) 653-1102
(706) 653-1203
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0057924
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2849
B/C B/S
DC
05
—
699111400
—
MD
01
—
J062
B/C B/S
MD
01
—
KA80
B/C B/S
MD
Enumeration date
05/31/2006
Last updated
08/01/2011
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