Organization
TIDEWATER PAIN ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MIDDLETON M.D. (PRESIDENT)
(410) 822-1000
Entity
Organization
Contact information
Practice address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(410) 822-1000
Mailing address
29 CREAMERY LN, EASTON, MD 21601-3137
(410) 819-0710
(410) 819-0712
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0021319
MD
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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