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Organization

TIDALHEALTH SPECIALTY CARE

Active
Other names
TidalHealth Pediatric Hospitalist
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization

Contact information

Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 912-2815
(410) 543-7741
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5422
(410) 543-6400

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
06/26/2024
Last updated
07/22/2025
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