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Organization
TIDALHEALTH SPECIALTY CARE
Active
Organization
TIDALHEALTH SPECIALTY CARE
Active
Other names
TidalHealth ENT Millsboro
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
30265 COMMERCE DR UNIT 102, MILLSBORO, DE 19966-3594
(302) 297-2453
(302) 297-2454
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5461
(410) 543-6400
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
07/22/2025
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