| NPI | 1598656811 |
|---|---|
| Other Name | TIDALHEALTH PEDIATRIC SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PELOT Chief Administrative Officer 410-543-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-22 |