Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Parent organization
TIDALHEALTH SPECIALTY CARE, LLC
Other names
TidalHealth Gastroenterology
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIDALHEALTH SPECIALTY CARE, LLC
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
1640 WOODBROOKE DR, SALISBURY, MD 21804-8501
(410) 912-5640
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5461
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
07/22/2025
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