| NPI | 1598081093 |
|---|---|
| Doing Business As | CDC NORTHSIDE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A PAUL President 561-744-9122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2020-10-28 |