JEEUN SONG MD PHD
NPI 1619761822
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 04, 2025

75 FRANCIS ST BLDG 360H, BOSTON, MA 02115(617) 732-7510(617) 278-6934 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jeeun Song Md Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEEUN SONG MD PHD (NPI 1619761822) is an individual student in an organized health care education/training program provider in Boston, Massachusetts and active in the NPI registry since April 2025.Information from the official NPPES registry record, last updated April 4, 2025.

NPPES Registry Identity

NPI1619761822

Entity TypeIndividualFemale

Provider Legal NameJEEUN SONGCredential: MD PHD

Location Address75 FRANCIS ST BLDG 360HBoston, MA 02115-6106

Mailing Address75 Francis St Bldg 360hBoston, MA 02115-6106 · (617) 732-7510 · Fax (617) 278-6934

Phone(617) 732-7510

Fax(617) 278-6934

Sole ProprietorNo

Enumeration DateApril 4, 2025

NPPES CertifiedApril 4, 2025

✔ NPI 1619761822 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

75 FRANCIS ST BLDG 360H, Boston, MA 02115

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