Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Peninsula Regional, Inc

Organization Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1336968619

Tidalhealth Peninsula Regional, Inc is a Hospice and Palliative Medicine (Internal Medicine) Physician in Salisbury, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Carroll St
Salisbury, MD 21801-5422
Phone: (410) 543-4716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X

Record details

NPI number1336968619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gary — Vice President Finance · (410) 546-6400
Other names Tidalhealth Palliative Care Inpatient
NPI enumeratedOctober 4, 2024
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing addressPo Box 826880, Philadelphia, PA 19182-6880

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