| NPI | 1972499135 |
|---|---|
| Other Name | TIDALHEALTH UROLOGY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PELOT Chief Administrative Officer 410-543-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-07-22 |