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TIDALHEALTH SPECIALTY CARE LLC NPI 1124643184


NPI Information

NPI: 1124643184
Provider Name: TIDALHEALTH SPECIALTY CARE, LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
100 E CARROLL ST
SALISBURY, MD
ZIP 21801
Phone: (410) 543-7722
Get Directions

TIDALHEALTH SPECIALTY CARE, LLC is a pulmonary disease internal medicine in Salisbury, MD. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. TIDALHEALTH SPECIALTY CARE, LLC NPI is 1124643184. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 E CARROLL ST
SALISBURY, MD
ZIP 21801-422
Phone: (410) 543-7722
Fax: (410) 543-7725

The provider's authorized official is Karin Dibari .
The authorized official title is President and has the following contact phone number (603) 577-2799.

The enumeration date for this NPI number is 6/15/2020 and was last updated on 6/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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