| NPI | 1033592662 |
|---|---|
| Other Name | TIDALHEALTH BREAST CENTER |
| Other Name | PENINSULA REGIONAL MEDICAL CENTER BREAST CENTER |
| Entity Type | Organization |
| Authorized Contact | BRUCE RITCHIE Chief Financial Officer 410-543-7298 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2020-10-26 |