Organization
TIDALHEALTH PHYSICIAN NETWORK, INC.
Active
Other names
TidalHealth Medical Oncology and Hematology Ocean Pines
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATOR OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
11105 CATHAGE RD, BERLIN, MD 21811-2131
(410) 912-4934
(410) 912-5934
Mailing address
PO BOX 824327, PHILADELPHIA, PA 19182-4327
(410) 912-6989
(410) 912-4972
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
07/22/2025
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