Individual ProviderMichael SongStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Kneeland St, Boston, MA 02111-1527(617) 636-6828PECOS EnrollmentBased on the most recent information from CMS, provider Michael Song does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1023851938Provider TypeIndividualFull NameSong, MichaelGenderMaleSole ProprietorNoEnumeration Date6/18/2024Last Updated6/18/2024Contact InformationPractice LocationPractice Address1 Kneeland St, Boston, MA 02111-1527Phone(617) 636-6828FaxUnlisted FaxMailing LocationMailing Address595 Hancock St, Quincy, MA 02170-1911PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer