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

Seo Ho Song, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013667989

Seo Ho Song, MD is a Psychiatry in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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

330 Brookline Ave Dept OF
Boston, MA 02215-5491
Phone: (617) 667-1029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 Brookline Ave, Boston, MA 02215-5491 — (617) 667-1029

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1013667989
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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