Northside Medical Services Corporation

NPI #1407187495 in Washington, District of Columbia

Provider Information

NPI Number: 1407187495
Entity Type: Organization
Organization Name: Northside Medical Services Corporation
Primary Specialty: Contractor
Enumeration Date: Jan 15, 2010
Last Updated: Jan 15, 2010

Practice Location

Address: 4121 MINNESOTA AVE NE
City: Washington
State: District of Columbia
ZIP Code: 20019-3572
Phone: (202) 388-6000

Authorized Official

Name: MR. RALPH O. TURNER, RN
Title: CHEIF CONSULTING OFFICER
Phone: (202) 388-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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