Individual
RALPH S NORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-9920
(757) 668-9930
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
0101047764
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001167001
—
DE
05
—
0016948910001
—
PA
05
—
006104797
—
VA
05
—
0207966000
—
WV
05
—
215451000
—
MD
05
—
890573T
—
NC
Enumeration date
05/26/2006
Last updated
12/17/2009
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