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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