Organization
NORTHSIDE MEDICAL SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH E. GREENE M.D. (MEDICAL DIRECTOR)
(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
MD25334
DC
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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