DAVID SONG KO

PUTNAM, CT
NPI1356720049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0102205469)
Additional Taxonomies207Q00000X Family Medicine
(Licence: WA  op61443176)
207Q00000X Family Medicine
(Licence: CT  82804)
Enumeration Date2015-05-27
Last Update Date2025-09-24
Business Address
Dr. DAVID SONG KO DO
330 POMFRET ST
PUTNAM, CT 06260-3803
Phone number: 860-928-2736
Mailing Address
Dr. DAVID SONG KO DO
PO BOX 746871
ATLANTA, GA 30374-6871
Phone number: