Tidalhealth Physician Network, Inc.

NPI #1811732514 in Berlin, Maryland

Provider Information

NPI Number
1811732514
Entity Type
Organization
Organization Name
Tidalhealth Physician Network, Inc.
Primary Specialty
Clinic/Center - Oncology
Enumeration Date
Jun 26, 2024
Last Updated
Jul 22, 2025

Practice Location

Address
11105 CATHAGE RD
City
Berlin
ZIP Code
21811-2131
Phone
(410) 912-4934

Authorized Official

Name
WILLIAM PELOT
Title
CHIEF ADMINISTRATOR OFFICER
Phone
(410) 543-7497

Specialties & Taxonomy Codes

Specialty
Clinic/Center - OncologyOncology

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