NPI | 1295745503 |
---|---|
Doing Business As | TIDEWATER PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SILVIA A DIAZ President 410-822-6712 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-08-22 |