Organization · Type 2 NPI

Tidalhealth Specialty Care, LLC

Endocrinology, Diabetes & Metabolism Physician · Salisbury, MD

NPI number 1023829033 Active

Practice location

1664 Woodbrooke Dr Ste A
Salisbury, MD 21804-8501

Call (410) 912-6716 Map

Mailing address

PO Box 825461
Philadelphia, PA 19182-5461

Specialties and licenses

Taxonomy	Code	License
Endocrinology, Diabetes & Metabolism Physician Primary	207RE0101X	None listed

Endocrinology, Diabetes & Metabolism Physician: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

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NPI record

NPI: 1023829033
Entity type: Organization (Type 2)
Issued: Jan 17, 2025
Last updated: Jul 22, 2025
Status: Active

Other names

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Tidalhealth Specialty Endocrinology · other name
Tidalhealth Specialty Endocrinology · other name

Authorized official

William Pelot
Chief Administrative Officer
(410) 543-7497

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About NPI 1023829033

Tidalhealth Specialty Care, LLC's National Provider Identifier is 1023829033, issued on Jan 17, 2025. The primary taxonomy on file is Endocrinology, Diabetes & Metabolism Physician (207RE0101X), and the practice location is in Salisbury, MD. The record was last updated on Jul 22, 2025.