Tidalhealth Physician Network, Inc. | |
503 W Market St Georgetown DE 19947-2321 | |
(302) 297-2587 | |
Not Available |
Full Name | Tidalhealth Physician Network, Inc. |
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Speciality | Family Medicine |
Location | 503 W Market St, Georgetown, 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. 503 W Market St Georgetown DE 19947-2321 Ph: (302) 297-2587 |
NPI Number | 1437962768 |
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Provider Enumeration Date | 01/30/2025 |
Last Update Date | 01/30/2025 |
Identifier | Type | State | Issuer |
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1437962768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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