Dr. Tae H Song
Surgeon Cardiothoracic Vascular Surgeon
55 Fruit St Blake 1570
Boston
, Massachusetts 02114-2621
Dr. Tae H Song
Surgeon Cardiothoracic Vascular Surgeon
55 Fruit St Blake 1570
Boston
, Massachusetts 02114-2621
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About
Features
Specialties
- Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Tae H Song
- 10 Overlook Ridge Dr Apartment 445
- Malden, MA
- Zip : 02148-4711
- Phone :
Second Address
- Dr. Tae H Song
- 55 Fruit St Blake 1570
- Boston, MA
- Zip : 02114-2621
- Phone : (617) 726-6826
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD441896 | PA |
| N | 208600000X | Surgeon | MD441896 | PA |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 251176 | MA |
National Provider Identifier
| NPI | 1053564732 |
|---|---|
| Provider Name | Dr. Tae H Song |
| First Address | Malden, MA 02148-4711 |
| Second Address | Boston, MA 02114-2621 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2008 |
| Last Update Date | 25/12/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.