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Organization

TIDEWATER DERMATOLOGY, LLC

Active
Other names
Tidewater Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNE P SPILLANE M.D. (MANAGING PARTNER)
(410) 641-2222
Entity
Organization

Contact information

Practice address
314 FRANKLIN AVE STE 401, BERLIN, MD 21811-1263
(410) 641-2222
(844) 715-9464
Mailing address
314 FRANKLIN AVE STE 401, BERLIN, MD 21811-1263
(410) 641-2222
(844) 715-9464

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
03/13/2015
Last updated
02/18/2026
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