Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Other names
TidalHealth Infusion Center, TidalHealth Specialty Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
11107 CATHAGE RD UNIT 104, BERLIN, MD 21811-2155
(410) 912-2858
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5461
(410) 912-6053
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
07/22/2025
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