Organization
TIDALHEALTH PHYSICIAN NETWORK, INC.
Active
Other names
TidalHealth Physician Network
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATOR OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
201 HEALTH SERVICES DR, SEAFORD, DE 19973-5771
(302) 297-2504
Mailing address
PO BOX 824327, PHILADELPHIA, PA 19182-4327
(410) 912-6989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
07/22/2025
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