Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
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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