Organization
TIDALHEALTH PHYSICIAN NETWORK, INC.
Active
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
1526 SAVANNAH RD, LEWES, DE 19958-1683
(302) 645-1805
Mailing address
PO BOX 824327, PHILADELPHIA, PA 19182-4327
(410) 912-6758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
07/22/2025
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