Organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SLOAN TRAMMELL (CREDENTIALING MANAGER)
(410) 912-6989
Entity
Organization
Contact information
Practice address
201 HALL HWY, CRISFIELD, MD 21817-1237
(410) 968-1200
Mailing address
PO BOX 826880, PHILADELPHIA, PA 19182-6880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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