Tidalhealth Physician Network, Inc. | |
30549 Sussex Hwy Laurel DE 19956-3891 | |
(302) 297-2579 | |
Not Available |
Full Name | Tidalhealth Physician Network, Inc. |
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Speciality | Family Medicine |
Location | 30549 Sussex Hwy, Laurel, 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. 30549 Sussex Hwy Laurel DE 19956-3891 Ph: (302) 297-2579 |
NPI Number | 1205649514 |
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Provider Enumeration Date | 01/30/2025 |
Last Update Date | 01/30/2025 |
Identifier | Type | State | Issuer |
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1205649514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Laurel Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1124 S Central Ave, Laurel, DE 19956 Phone: 302-875-7753 | |
Curtis A. Smith, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 S Central Ave, Laurel, DE 19956 Phone: 302-875-6800 Fax: 302-875-6803 | |