# SOUTHSIDE MEDICAL CARE LLC

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

## Provider details

- **NPI number:** 1437698552
- **Authorized official:** DR. NASIMA NEELOFER JAFFERY M.D. (MEDICAL PROVIDER)
- **Authorized official phone:** (443) 978-7028

## Contact information

- **Practice address:** 102 WILLIAMSPORT CIR, SALISBURY, MD 21804-6400
- **Practice address phone:** (443) 978-7028
- **Practice address fax:** (443) 944-9023
- **Mailing address:** 102 WILLIAMSPORT CIR, SALISBURY, MD 21804-6400
- **Mailing address phone:** (443) 978-7028
- **Mailing address fax:** (443) 944-9023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0080104 | MD | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | D0064352 | MD | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | D0064352 | MD | Yes |

## Other

- **Enumeration date:** 02/22/2017
- **Last updated:** 02/22/2017