Active NPIIndividual provider

Andrea B Tidman, MD

Pediatrics in South Burlington, Vermont

NPI Number1770087090
Practice location
52 Timber Ln, South Burlington, VT 05403-7204
Fax
—
Last updated
July 17, 2024

Andrea Blood Tidman is a Pediatrics based in South Burlington, VT. Andrea Blood Tidman practices in South Burlington, VT and has the professional credentials of MD. The NPI Number for Andrea Blood Tidman is 1770087090 and holds a License No. 042.0015332 (VT). The current practice location address for Andrea Blood Tidman is 52 Timber Ln, South Burlington, VT 05403-7204 and can be reached out via phone at 802-658-2320.

Provider Profile Details

NPI Number
1770087090
Provider Name
Andrea Blood Tidman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
52 Timber Ln, South Burlington, VT 05403-7204
Phone Number
802-658-2320
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Other Names
Andrea Nicole Blood (Former Name)
Provider Enumeration Date
March 21, 2018
Last Update Date
July 17, 2024
Certification Date
July 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
52 Timber Ln
South Burlington, VT 05403-7204
State
Vermont
Zip
05403-7204
Phone Number
802-658-2320
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
52 Timber Ln
South Burlington, VT 05403-7204
City
South Burlington
State
VT
Zip
05403-7204
Phone Number
802-658-2320

License Information

License Number
042.0015332
License State
VT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea B Tidman, MD?

The NPI number of Andrea B Tidman, MD is 1770087090. It was assigned on March 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Andrea B Tidman, MD?

Andrea B Tidman, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in VT under license number 042.0015332.

Where does Andrea B Tidman, MD practice?

The practice location is 52 Timber Ln, South Burlington, VT 05403-7204. The office can be reached at 802-658-2320 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770087090 directly on the NPPES registry website.

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