Organization Name: | ANTHONY B SONGCO MD PC |
NPI Number: | 1447557848 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY B SONGCO (PRESIDENT) |
Mailing Address: | 1704 S Custer Rd Monroe |
State: | MI US |
Postal Code: | 481611622 |
Phone Number: | 7342411100 |
Fax Number: | 7342415114 |
NPI Enumeration Date: | 02/21/2011 |
NPI Last Update Date: | 02/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 045431 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |