MEDICARE: DANIEL J SONG M.D.

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	207X00000X	Orthopaedic Surgery Physician	60764	CO
2	207X00000X	Orthopaedic Surgery Physician	D0104820	MD
3	207X00000X	Orthopaedic Surgery Physician	MD493343	PA
4	207X00000X	Orthopaedic Surgery Physician	34231	WV

General Provider Information

NPI Number	:	1285833244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL J SONG M.D.

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 DEATRICK DR
Second Line	:
City	:	GETTYSBURG
State	:	PA
Zip	:	17325-6958
Country	:	US
Telephone Number	:	717-339-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	02/19/2026

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