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Tideway Dermatology, Pa
Specialist in Havre De Grace, Maryland
NPI 1619054525

Tideway Dermatology, Pa is a Specialist based in Havre De Grace, MD. Tideway Dermatology, Pa practices in Havre De Grace, MD. The NPI Number for Tideway Dermatology, Pa is 1619054525 and holds a License No. D0045614 (Maryland).

The current practice location address for Tideway Dermatology, Pa is 323 S Union Ave, Havre De Grace, MD and can be reached out via phone at 410-939-0961.

Location: 323 S Union Ave, Havre De Grace, MD, 21078-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619054525
Provider Name
Tideway Dermatology, Pa
Credential
Provider Entity Type
Organization
Address
323 S Union Ave, Havre De Grace, MD, 21078-3201
Phone Number
410-939-0961
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
323 S Union Ave
City
Havre De Grace
State
Maryland
Zip
21078-3201
Phone Number
410-939-0961
Fax Number
person
Provider Business Mailing Address Details
Address
323 S Union Ave
City
Havre De Grace
State
Maryland
Zip
21078-3201
Phone Number
410-939-0961
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D0045614 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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