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Organization
TIDALHEALTH PHYSICIAN NETWORK, INC.
Active
Organization
TIDALHEALTH PHYSICIAN NETWORK, INC.
Active
Other names
TidalHealth Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATOR OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
801 MIDDLEFORD RD, SEAFORD, DE 19973-3636
(302) 297-2506
Mailing address
PO BOX 824327, PHILADELPHIA, PA 19182-4327
(410) 912-6989
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
07/22/2025
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