Organization
NORTHSIDE MEDICAL SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH O. TURNER RN (FACILITY MANAGER)
(202) 388-6000
Entity
Organization
Contact information
Practice address
4121 MINNESOTA AVE NE, WASHINGTON, DC 20019-3572
(202) 388-6000
(202) 388-6001
Mailing address
4121 MINNESOTA AVE NE, WASHINGTON, DC 20019-3572
(202) 388-6000
(202) 388-6001
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
MD037802
DC
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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