Tideway Dermatology, PA
NPI #1619054525 in Havre De Grace, Maryland
Provider Information
- NPI Number
- 1619054525
- Entity Type
- Organization
- Organization Name
- Tideway Dermatology, PA
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 26, 2016
Practice Location
- Address
- 323 S UNION AVE
- City
- Havre De Grace
- State
- Maryland
- ZIP Code
- 21078-3201
- Phone
- (410) 939-0961
Authorized Official
- Name
- DAVID FRANKLIN JAFFE, MD
- Title
- OWNER
- Phone
- (410) 939-0961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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