| NPI | 1245123157 |
|---|---|
| Other Name | TIDALHEALTH OBGYN |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PELOT Chief Administrative Officer 410-543-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-07-22 |