Tidalhealth Physician Network, Inc.

NPI #1205649514 in Laurel, Delaware

Provider Information

NPI Number: 1205649514
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: 30549 SUSSEX HWY
City: Laurel
State: Delaware
ZIP Code: 19956-3891
Phone: (302) 297-2579

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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