Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BOYOUNG SONG, M.D.
ActiveDR. BOYOUNG SONG, M.D. is a Vascular Surgery healthcare provider located in WILKES-BARRE, Pennsylvania. NPI 1528296886 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · WILKES-BARRE, PA
Registration Details
- NPI Number
- 1528296886
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2009 (17.160640995302 yrs)
- Last Updated
- Aug 26, 2020
- Licenses
-
MT205629 (PA)MD456961 (PA)
Practice Information
- Address
-
1000 EAST MOUNTAIN BLVD.WILKES-BARRE, PA, 187113622Browse PA providers · Browse ZIP 18711
- Phone
- 5708086000
- Fax
- 5708086061
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.