Organization
TIDALHEALTH PHYSICIAN NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMIN OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
801 MIDDLEFORD RD, SEAFORD, DE 19973-3636
(302) 629-6611
Mailing address
PO BOX 824327, PHILADELPHIA, PA 19182-4327
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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