Organization · Type 2 NPI

Tidalhealth Specialty Care, LLC

Obstetrics & Gynecology Physician · Salisbury, MD

NPI number 1962373811 Active

Practice location

145 E Carroll St Ste 101-102
Salisbury, MD 21801-5454

Fax (410) 543-7269

Mailing address

PO Box 825461
Philadelphia, PA 19182-5461

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XNone listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3 other providers at this address

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About NPI 1962373811

Tidalhealth Specialty Care, LLC's National Provider Identifier is 1962373811, issued on Sep 15, 2025. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Salisbury, MD. The record was last updated on Sep 15, 2025.