National Provider Identifier
Mary Song, PA-C
Mary Song, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (978) 995-2625.
Source: public NPPES record, last updated June 19, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1396589024
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 19, 2024
- Last Updated
- June 19, 2024
Practice Location
- 179 Longwood Ave
- Boston, MA 02115-5804
Phone: (978) 995-2625
Specialties
- Physician Assistant (363A00000X)
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Biography
Mary Song, PA-C, is a Boston-based physician assistant with a recent practice history in Massachusetts urgent care. Public Medicare directory data lists her as a 2023 graduate who works with clinicians at Urgent Care Centers of Central Massachusetts and Walk-in MD Clinic; Walk-in MD Clinic’s provider roster also identifies her among its Randolph clinical team.
Full Record
- NPI
- 1396589024
- Entity Type
- Individual
- Last Name
- Song
- First Name
- Mary
- Credential
- PA-C
- Mailing Street Address
- 179 Longwood Ave
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02115-5804
- Mailing Country
- US
- Mailing Phone
- (978) 995-2625
- Practice Street Address
- 179 Longwood Ave
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-5804
- Practice Country
- US
- Practice Phone
- (978) 995-2625
- Enumeration Date
- June 19, 2024
- Last Updated
- June 19, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 19, 2024
- Taxonomies
- Physician Assistant (363A00000X)