Organization
TIDEWATER ANESTHESIA ASSOCIATES, PA
Active
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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