Tidalhealth Physician Network, Inc.

NPI #1063225365 in Seaford, Delaware

Provider Information

NPI Number: 1063225365
Entity Type: Organization
Organization Name: Tidalhealth Physician Network, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jan 30, 2025
Last Updated: Jul 22, 2025

Practice Location

Address: 100 RAWLINS DR # A
City: Seaford
State: Delaware
ZIP Code: 19973-5881
Phone: (302) 990-3300

Authorized Official

Name: WILLIAM PELOT
Title: CHIEF ADMINISTRATOR OFFICER
Phone: (410) 543-7497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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