Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Other names
Tidalhealth Specialtyy Care
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
1664 WOODBROOKE DR, SALISBURY, MD 21804
(410) 912-6716
Mailing address
PO BOX 825461 N/A, PHILADELPHIA, PA 19182-0001
(410) 912-6053
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
07/22/2025
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