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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIDEWAY DERMATOLOGY, PA

Active Organization

TIDEWAY DERMATOLOGY, PA is a Specialist organization located in HAVRE DE GRACE, Maryland. NPI 1619054525 is currently active in the NPPES registry. Verify at CMS.

Specialist · HAVRE DE GRACE, MD

Registration Details

NPI Number
1619054525
Provider Type
Organization
NPI Issued
Nov 1, 2006 (19.818577099132 yrs)
Last Updated
Jul 26, 2016
License
D0045614 (MD)

Practice Information

Address
323 S UNION AVE
HAVRE DE GRACE, MD, 210783201
Browse MD providers · Browse ZIP 21078
Phone
4109390961
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in HAVRE DE GRACE, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.