Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINSTRATOR)
(410) 543-7497
Entity
Organization
Contact information
Practice address
145 E CARROLL ST STE 101-102, SALISBURY, MD 21801-5454
(410) 543-7268
(410) 543-7269
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5461
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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