| NPI | 1174347330 |
|---|---|
| Other Name | TIDALHEALTH SPECIALTYY CARE |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GARY Vice President Finance 410-912-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-12-04 |