Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Min Soo Song, MD, CM

Individual provider Gastroenterology Physician · NPI 1053575340

Dr. Min Soo Song, MD, CM is a Gastroenterology in Leominster, Massachusetts. Qualified in 2003, 23 years ago. Practices with North Worcester Gastroenterology, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
23
Licensed in
MA, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 Erdman Way
Leominster, MA 01453-1805
Phone: (978) 466-7800
Fax: (978) 466-9333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 239085 (MA)
Transplant Hepatology Physician Taxonomy 207RT0003X · Licence 248069 (NY)

Record details

NPI number1053575340
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , CM
Sole proprietorNo
NPI enumeratedJuly 15, 2008
Last updated in NPPESFebruary 9, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice North Worcester Gastroenterology, P.C. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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