Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidewater Dermatology, LLC

Organization Dermatology Physician · NPI 1891188991

Tidewater Dermatology, LLC is a Dermatology Physician in Berlin, Maryland. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

314 Franklin Ave Ste 401
Berlin, MD 21811-1263
Phone: (410) 641-2222
Fax: (844) 715-9464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1891188991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Spillane — Managing Partner · (410) 641-2222
Other names Tidewater Dermatology
NPI enumeratedMarch 13, 2015
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address314 Franklin Ave Ste 401, Berlin, MD 21811-1263

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