Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1973
Offers telehealth
NPI: 1720256332
Practice Locations (3)
TIDALHEALTH PENINSULA REGIONAL INC
100 E CARROLL ST
SALISBURY, MD 218015422
4109126989
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH PENINSULA REGIONAL INC
145 E CARROLL ST, TIDALHEALTH COVID INFUSION CLINIC
SALISBURY, MD 218015454
4105466400
Source: CMS National Downloadable File, September 2026.