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Organization

SPRINGSIDE HEALTH PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODI BOSANKO (OFFICE MANAGER)
(410) 357-1125
Entity
Organization

Contact information

Practice address
12210 PLUM ORCHARD DR STE 217, SILVER SPRING, MD 20904-7911
(410) 357-1125
(410) 357-1125
Mailing address
647 RIDGELY AVE STE 140, ANNAPOLIS, MD 21401-1069
(410) 357-1125
(410) 357-1125

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/13/2026
Last updated
05/13/2026
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