# SPRINGSIDE HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144158569
- **Authorized official:** JODI BOSANKO (OFFICE MANAGER)
- **Authorized official phone:** (410) 357-1125

## Contact information

- **Practice address:** 17001 SCIENCE DR STE 116-117, BOWIE, MD 20715-4329
- **Practice address phone:** (410) 357-1125
- **Practice address fax:** (410) 357-1125
- **Mailing address:** 647 RIDGELY AVE STE 140, ANNAPOLIS, MD 21401-1069
- **Mailing address phone:** (410) 357-1125
- **Mailing address fax:** (410) 357-1125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2026
- **Last updated:** 05/13/2026