Individual
MIN SONG
Active
Individual
MIN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233356
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
233356
MA
Other
Enumeration date
08/31/2006
Last updated
08/19/2011
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