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

Individual provider Physician Assistant · NPI 1396589024

Mary Song, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with Urgent Care Centers of Central Massachusetts LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

179 Longwood Ave
Boston, MA 02115-5804
Phone: (978) 995-2625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA100794 (MA)

Record details

NPI number1396589024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Urgent Care Centers Of Central Massachusetts Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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