Organization · Type 2 NPI

Tidalhealth Peninsula Regional, Inc.

Family Medicine Physician · Salisbury, MD

NPI number 1093672065 Active

Practice location

1639 Woodbrooke Dr
Salisbury, MD 21804-8502

Mailing address

PO Box 826880
Philadelphia, PA 19182-6880

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

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About NPI 1093672065

Tidalhealth Peninsula Regional, Inc.'s National Provider Identifier is 1093672065, issued on Jan 9, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Salisbury, MD. The record was last updated on Jan 9, 2026.