Tideway Dermatology, Pa

LBN: Tideway Dermatology, Pa
Tideway Dermatology, Pa is an health care organization with primary practice located at 323 S Union Ave , Havre De Grace MD 21078-3201. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Tideway Dermatology, Pa can be contacted via phone (410) 939-0961, or through Jaffe, David Franklin via phone (410) 939-0961.

Contact Information

Primary practice address
323 S Union Ave Havre De Grace MD 21078-3201
Phone: (410) 939-0961
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jaffe, David Franklin Doctor of Medicine (MD)
Phone: (410) 939-0961

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0045614 Maryland

Profile Details

NPI number 1619054525
LBN Legal business name Tideway Dermatology, Pa
DBA Doing business as
Authorized official Jaffe, David Franklin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 26th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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