Tideway Dermatology, PA
Tideway Dermatology, PA is a Specialist in Havre de Grace, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
323 S Union AveHavre de Grace, MD 21078-3201
Phone: (410) 939-0961
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence D0045614 (MD) |
|---|
Record details
| NPI number | 1619054525 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Jaffe — Owner · (410) 939-0961 |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | July 26, 2016 |
| Mailing address | 323 S Union Ave, Havre De Grace, MD 21078-3201 |
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