INTEGRATED DERMATOLOGY OF TIDEWATER LLC

NORFOLK, VA
NPI1801238472
Entity TypeOrganization
Authorized ContactJEFFREY D QUEEN
Owner
514-314-2000
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2013-07-24
Last Update Date2019-01-29
Business Address
INTEGRATED DERMATOLOGY OF TIDEWATER LLC
885 KEMPSVILLE RD STE 309
NORFOLK, VA 23502-3800
Phone number: 757-461-1033
Mailing Address
INTEGRATED DERMATOLOGY OF TIDEWATER LLC
4700 EXCHANGE CT STE 110
BOCA RATON, FL 33431-4450
Phone number: 561-314-2000
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