NPI 1184997678

Northside Medical LLC

Organisation Internal Medicine Physician Kingshill, VI

Practice location

Address: 252 Estate Glynn Agape Medical Center, Kingshill, VI 00850-9826
Phone: (340) 772-2000

Authorised official

Name: Albert a Titus
Title: Owner
Phone: (340) 772-2000

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 1631 (VI)

Other Internal Medicine providers in U.S. Virgin Islands →

Registry record

NPI: 1184997678
Entity type: Organization
NPI issued: 15 Feb 2012
Record last updated: 15 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.