Organization
TIDALHEALTH SPECIALTY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
145 E CARROLL ST, SALISBURY, MD 21801-5454
(410) 912-6172
(410) 912-6173
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5461
(410) 543-7437
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
07/22/2025
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