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Dr. Song Ki Yu, DPM

Podiatrist in Fairfield, CT. Individual provider (NPI-1).

NPI number1790770352
StatusActive
Last updated in NPPESMar 4, 2014

Details

NPI
1790770352
Entity type
Individual (NPI-1)
Name
Dr. Song Ki Yu
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2005
Last updated
Mar 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist000764CTYes

Practice location

1817 Black Rock Tpke
Ste 8 Advanced Medical Footcare
Fairfield, CT 06825-3546

Phone 203-330-8080 · Fax 203-334-6924

Mailing address

1817 Black Rock Tpke
Ste 8
Fairfield, CT 06825-3546

Phone 203-330-8080 · Fax 203-334-6924

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