DR. MD.,CM Min Soo Song, NPI 1053575340
Gastroenterology Physician in Leominster, MA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1053575340
NPI Entity Type Individual
Provider Name DR. MD.,CM Min Soo Song
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 105 Erdman Way, Leominster, MA, US
Provider Mailing Address 105 Erdman Way, Leominster, MA, US, 014531805
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RG0100X

Taxonomy Name Gastroenterology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 239085
License State MA
Description An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

DR. MD.,CM Min Soo Song
105 Erdman Way

Leominster, MA, US

Phone: 978-466-7800
Fax: 978-466-9333

Mailing Address

DR. MD.,CM Min Soo Song
105 Erdman Way
Leominster, MA, US
ZIP 014531805
Phone: 978-466-7800
Fax: 978-466-9333

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RT0003X

Allopathic & Osteopathic Physicians

Internal Medicine

248069 NY No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1053575340 MA HMO BLUE 01
498955 MA TUFTS 01
951278-01 MA NETWORK HEALTH 01
98493515 MA AETNA NON HMO 01
0442974 MA NEIGHBORHOOD HEALTH PLAN 01
1053575340 MA AETNA HMO 01
1053575340 MA FALLON COMMUNITY HEALTH CARE 01
AA146200 MA HARVARD PILGRIM HEALTH CARE 01
001093301 MA RAILROAD MEDICARE 01
1053575340 MA EVERCARE 01
110082569A MA MEDICAID 05
1053575340 MA BCBS OF MASSACHUSETTS 01
30208701 NH NH MEDICAID 01
3523061 MA CIGNA HEALTH CARE 01

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