Individual provider · Type 1 NPI

Sungmin Song, MD

Student in an Organized Health Care Education/Training Program · Du Bois, PA

NPI number 1225957392 Active

Practice location

145 Hospital Ave Ste 315
Du Bois, PA 15801-1465

Call (814) 503-4305 Map

Fax (814) 503-4307

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMT236553 (PA)
Family Medicine Physician 207Q00000XMT236553 (PA)

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1225957392

Sungmin Song, MD's National Provider Identifier is 1225957392, issued on Jul 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Du Bois, PA. The record was last updated on Sep 1, 2026.