MEDICARE: S & SONG INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364S00000X	Clinical Nurse Specialist	R057717	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	54664301	OTHER	MD	BCBS

General Provider Information

NPI Number	:	1275558868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S & SONG INC

Provider Business Mailing Address
First Line	:	4616 MORNING RIDE CT
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042
Country	:	US
Telephone Number	:	410-461-4425
Fax Number	:	410-462-3517

Provider Business Practice Location Address
First Line	:	4616 MORNING RIDE CT
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042
Country	:	US
Telephone Number	:	410-829-5148
Fax Number	:	410-462-3517

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. SOONOK KONG SONG
Credential	:	CNS-PMM
Telephone Number	:	410-829-5148

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1801383344 — FAITH ITOHAN OMOREGIE RN
Practice Location Address:

3590 CONCHITA DR
ELLICOTT CITY, MD
21042-1102

Practice Phone: 443-878-6245
Practice Fax:

1962051128 — RACHEL CLARK LCSW-C
Practice Location Address:

10910 CLARKSVILLE PIKE
ELLICOTT CITY, MD
21042-6106

Practice Phone: 667-240-4234
Practice Fax:

1760485353 — JAMES J ZALUCKI M.D.
Practice Location Address:

4801 DORSEY HALL DR , STE 216
ELLICOTT CITY, MD
21042-7749

Practice Phone: 410-730-1712
Practice Fax: 410-730-1713

1912901901 — DR. M. MONICA ST. JEAN DDS
Practice Location Address:

9097 NORTHFIELD RD
ELLICOTT CITY, MD
21042-5935

Practice Phone: 410-461-2593
Practice Fax:

1952307258 — DR. UJWALA VIVEK DESAI MD
Practice Location Address:

9501 OLD ANNAPOLIS ROAD , SUITE 308
ELLICOTT CITY, MD
21042

Practice Phone: 301-621-6570
Practice Fax: 301-621-6589

1194722363 — BARBARA JEAN THOMPSON PHD
Practice Location Address:

3355 SAINT JOHNS LN
ELLICOTT CITY, MD
21042-2605

Practice Phone: 443-629-3761
Practice Fax:

1750389086 — DR. CATHERINE MAILANDER M.D.
Practice Location Address:

9501 OLD ANNAPOLIS RD , SUITE 101
ELLICOTT CITY, MD
21042-6314

Practice Phone: 410-992-9339
Practice Fax: 410-964-5150

Directions to “S & SONG INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.