TIDEWAY DERMATOLOGY, PA

HAVRE DE GRACE, MD
NPI1619054525
Entity TypeOrganization
Authorized ContactDAVID FRANKLIN JAFFE
Owner
410-939-0961
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: MD  D0045614)
Enumeration Date2006-11-01
Last Update Date2016-07-26
Business Address
TIDEWAY DERMATOLOGY, PA
323 S UNION AVE
HAVRE DE GRACE, MD 21078-3201
Phone number: 410-939-0961
Mailing Address
TIDEWAY DERMATOLOGY, PA
323 S UNION AVE
HAVRE DE GRACE, MD 21078-3201
Phone number: 410-939-0961