Tidalhealth Physician Network, Inc. | |
9111 Antique Aly Unit 1 Bridgeville DE 19933-4682 | |
(302) 337-9320 | |
Not Available |
Full Name | Tidalhealth Physician Network, Inc. |
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Speciality | Family Medicine |
Location | 9111 Antique Aly Unit 1, Bridgeville, Delaware |
Authorized Official Name and Position | Denise W Jester (DIRECTOR ACCOUNTING) |
Authorized Official Contact | 3026296611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tidalhealth Physician Network, Inc. Po Box 824327 Philadelphia PA 19182-4327 Ph: (410) 912-6989 | Tidalhealth Physician Network, Inc. 9111 Antique Aly Unit 1 Bridgeville DE 19933-4682 Ph: (302) 337-9320 |
NPI Number | 1639982952 |
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Provider Enumeration Date | 01/30/2025 |
Last Update Date | 01/30/2025 |
Identifier | Type | State | Issuer |
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1639982952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Internal Medicine Of Bridgeville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8991 Redden Rd, Bridgeville, DE 19933 Phone: 302-337-3300 Fax: 302-337-8072 | |