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1437962768
TIDALHEALTH PHYSICIAN NETWORK, INC.
GEORGETOWN, DE
NPI
1437962768
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Entity Type
Organization
Authorized Contact
WILLIAM PELOT
Chief Administrator Officer
410-543-7497
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2025-01-30
Last Update Date
2025-07-22
Business Address
TIDALHEALTH PHYSICIAN NETWORK, INC.
503 W MARKET ST
GEORGETOWN, DE 19947-2321
Phone number: 302-297-2587
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Mailing Address
TIDALHEALTH PHYSICIAN NETWORK, INC.
PO BOX 824327
PHILADELPHIA, PA 19182-4327
Phone number: 410-912-6989
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