Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Other names
TidalHealth Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
11105 CATHAGE RD, BERLIN, MD 21811-2131
(410) 912-4934
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5461
(410) 912-6053
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
06/14/2025
Last updated
07/22/2025
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