Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1979
Offers telehealth
NPI: 1164417499
Practice Locations (3)
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH SPECIALTY CARE LLC
1630 WOODBROOKE DR
SALISBURY, MD 218048501
TIDALHEALTH SPECIALTY CARE LLC
1640 WOODBROOKE DR
SALISBURY, MD 218048501
4109125640
Source: CMS National Downloadable File, September 2026.