| Tidalhealth Specialty Care, Llc | |
|
1664 Woodbrooke Dr Ste A Salisbury MD 21804-8501 | |
| (410) 912-6716 | |
| Not Available |
| Full Name | Tidalhealth Specialty Care, Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1664 Woodbrooke Dr Ste A, Salisbury, Maryland |
| Authorized Official Name and Position | Stephanie Gary (VICE PRESIDENT) |
| Authorized Official Contact | 3029126989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidalhealth Specialty Care, Llc Po Box 825461 Philadelphia PA 19182-5461 Ph: (410) 912-6053 | Tidalhealth Specialty Care, Llc 1664 Woodbrooke Dr Ste A Salisbury MD 21804-8501 Ph: (410) 912-6716 |
| NPI Number | 1023829033 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023829033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Tidalhealth Specialty Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-912-5640 | |
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