Northside Medical LLC

NPI #1184997678 in Kingshill, Virgin Islands

Provider Information

NPI Number: 1184997678
Entity Type: Organization
Organization Name: Northside Medical LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 15, 2012
Last Updated: Feb 15, 2012

Practice Location

Address: 252 ESTATE GLYNN
Address 2: AGAPE MEDICAL CENTER
City: Kingshill
State: Virgin Islands
ZIP Code: 00850-9826
Phone: (340) 772-2000

Authorized Official

Name: DR. ALBERT A TITUS, M.D.
Title: OWNER
Phone: (340) 772-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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