Organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Active
Other names
TidalHealth Palliative Care Inpatient
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GARY (VICE PRESIDENT FINANCE)
(410) 546-6400
Entity
Organization
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-4716
Mailing address
PO BOX 826880, PHILADELPHIA, PA 19182-6880
(410) 543-7324
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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