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Organization

TIDEWATER ANESTHESIA ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY KLEINERT DO (PRESIDENT)
(717) 413-4756
Entity
Organization

Contact information

Practice address
100 BROWN ST, CHESTERTOWN, MD 21620-1435
(410) 778-3300
Mailing address
PO BOX 1208, EASTON, MD 21601-8924

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
02/14/2025
Last updated
02/14/2025
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