| Doctor Name: | DR. MIN SOO SONG |
| NPI Number: | 1053575340 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD.,CM |
| License Number: | 248069 |
| Business Practice Address: | 105 Erdman Way Leominster, MA - 014531805 |
| Business Phone Number: | 9784667800 |
| Business Fax Number: | 9784669333 |
| Mailing Address: | 105 Erdman Way, LEOMINSTER |
| State: | MA |
| Postal Code: | 014531805 |
| Phone Number: | 9784667800 |
| Fax Number: | 9784669333 |
| NPI Enumeration Date: | 07/15/2008 |
| NPI Last Update Date: | 02/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RT0003X |
| License Number: | 248069 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Transplant Hepatology |
| Taxonomy Definition: | An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease. |