Tideway Dermatology, Pa in Havre De Grace - Specialist
Tideway Dermatology, Pa - NPI 1619054525
Tideway Dermatology, Pa is a Specialist in Havre De Grace, Maryland. Tideway Dermatology, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tideway Dermatology, Pa is 1619054525. The last update date is 2016-07-26.
Tideway Dermatology, Pa's current location address is 323 S Union Ave, Havre De Grace, Maryland. You can contact this provider via phone number 4109390961. The mailing address for Tideway Dermatology, Pa is 323 S Union Ave, Havre De Grace, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tideway Dermatology, Pa |
|---|---|
| Address | 323 S Union Ave, Havre De Grace, Maryland |
| Phone Number | 4109390961 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jaffe Franklin David |
| Credentials | MD |
| Telephone Number | 4109390961 |
NPI Number Detail
| NPI Number | 1619054525 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2016-07-26 |
Provider Mailing Address Detail
| Address | 323 S Union Ave |
|---|---|
| City | Havre De Grace |
| State | Maryland (MD) |
| Post Code | 210783201 |
| Phone Number | 4109390961 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | D0045614 |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Tideway Dermatology, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Tideway Dermatology, Pa has been assigned the NPI (National Provider Identifier) 1619054525. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Tideway Dermatology, Pa's facilities are geographically located?
The facilities of Tideway Dermatology, Pa are physically situated at the following location: 323 S Union Ave, Havre De Grace, MD, 210783201.
What is the area of specialization for Tideway Dermatology, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tideway Dermatology, Pa is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When did the Tideway Dermatology, Pa receive its 1619054525?
The Tideway Dermatology, Pa was issued its 1619054525 on 2006-11-01, which is the date when the organization was assigned this unique identifier.
When was the information regarding Tideway Dermatology, Pa most recently updated?
The details pertaining to the Tideway Dermatology, Pa, including its address, specialty, and other relevant information, were last refreshed on 2016-07-26.