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Dr. Min Soo Song, MD,CM
Transplant Hepatology Physician in Leominster, Massachusetts
NPI 1053575340

Min Soo Song is a Transplant Hepatology Physician based in Leominster, MA and is specialized in Transplant Hepatology. Min Soo Song practices in Leominster, MA and has the professional credentials of MD,CM. The NPI Number for Min Soo Song is 1053575340 and holds a License No. 239085 (Massachusetts).

The current practice location address for Min Soo Song is 105 Erdman Way, Leominster, MA and can be reached out via phone at 978-466-7800 and via fax at 978-466-9333.

Location: 105 Erdman Way, Leominster, MA, 01453-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053575340
Provider Name
Min Soo Song
Credential
MD,CM
Provider Entity Type
Individual
Gender
Male
Address
105 Erdman Way, Leominster, MA, 01453-1805
Phone Number
978-466-7800
Fax Number
978-466-9333
Provider Enumeration Date
07/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053575340 01 MA HMO BLUE
498955 01 MA TUFTS
951278-01 01 MA NETWORK HEALTH
98493515 01 MA AETNA NON HMO
0442974 01 MA NEIGHBORHOOD HEALTH PLAN
1053575340 01 MA AETNA HMO
1053575340 01 MA FALLON COMMUNITY HEALTH CARE
AA146200 01 MA HARVARD PILGRIM HEALTH CARE
001093301 01 MA RAILROAD MEDICARE
1053575340 01 MA EVERCARE
110082569A 05 MA
1053575340 01 MA BCBS OF MASSACHUSETTS
30208701 01 NH NH MEDICAID
3523061 01 MA CIGNA HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
105 Erdman Way
City
Leominster
State
Massachusetts
Zip
01453-1805
Phone Number
978-466-7800
Fax Number
978-466-9333
person
Provider Business Mailing Address Details
Address
105 Erdman Way
City
Leominster
State
Massachusetts
Zip
01453-1805
Phone Number
978-466-7800
Fax Number
978-466-9333
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
248069 (New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Transplant Hepatology
Taxonomy
207RT0003X
License No.
239085 (Massachusetts)
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.
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