Xiaosong Song MD

NPI 1093941205 - Internal Medicine - 207RG0100X

NPI Details
NPI 1093941205
Gender Male
Enumeration Date 06/02/2009
Last Updated 12/19/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
190 OUTER MAIN ST
POTSDAM NY, 13676-2324, US
Phone (315) 261-4493
Fax (315) 261-4498
Business Location
50 LEROY ST
POTSDAM NY, 13676-1786, US
Phone (315) 265-3300
Fax (315) 261-6023
Toxanomy
Taxonomy Code 207RG0100X
License State New York
License Number 254492
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According to our database, Dr. Xiaosong Song MD NPI is 1093941205, taxonomy code is 207RG0100X and license number is 254492, license state is located at New York. Xiaosong Song MD physically located at 190 Outer Main St, Potsdam NY, 13676-2324. NPI Number Xiaosong Song MD has the Individual type.

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1093941205 NPI number is provided on an as is basis without warranty of any kind. 1093941205 is maintained by the National Plan & Provider Enumeration System. The contents of Xiaosong Song MD are for informational purposes only.