Organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Active
Organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Active
Other names
TidalHealth Covid Infusion Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GARY (CFO)
(410) 912-6059
Entity
Organization
Contact information
Practice address
145 E CARROLL ST, SALISBURY, MD 21801-5454
(410) 546-6400
(410) 912-4959
Mailing address
PO BOX 826880, PHILADELPHIA, PA 19182-5454
(410) 546-6400
(410) 912-4959
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
02/28/2023
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