| Southside Medical Care Llc | |
|
102 Williamsport Cir Salisbury MD 21804-6400 | |
| (443) 978-7028 | |
| (443) 944-9023 |
| Full Name | Southside Medical Care Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 102 Williamsport Cir, Salisbury, Maryland |
| Authorized Official Name and Position | Nasima Neelofer Jaffery (MEDICAL PROVIDER) |
| Authorized Official Contact | 4439787028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Medical Care Llc 102 Williamsport Cir Salisbury MD 21804-6400 Ph: (443) 978-7028 | Southside Medical Care Llc 102 Williamsport Cir Salisbury MD 21804-6400 Ph: (443) 978-7028 |
| NPI Number | 1437698552 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 5294010245 |
|---|---|
| Medicare Enrollment ID | O20170314001581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437698552 | NPI | - | NPPES |
| Provider Name | Nasima N Jaffery |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730139304 PECOS PAC ID: 9234136839 Enrollment ID: I20061024000338 |
| Provider Name | Syed W Jaffery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447559281 PECOS PAC ID: 3072774355 Enrollment ID: I20170508000937 |
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