| Tidalhealth Physician Network, Inc. | |
|
100 Rawlins Dr # A Seaford DE 19973-5881 | |
| (302) 990-3300 | |
| Not Available |
| Full Name | Tidalhealth Physician Network, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Rawlins Dr # A, Seaford, Delaware |
| Authorized Official Name and Position | Stephanie Gary (SR VICE PRESIDENT- FINANCE CFO) |
| Authorized Official Contact | 4109126059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidalhealth Physician Network, Inc. Po Box 824327 Philadelphia PA 19182-4327 Ph: (410) 912-6989 | Tidalhealth Physician Network, Inc. 100 Rawlins Dr # A Seaford DE 19973-5881 Ph: (302) 990-3300 |
| NPI Number | 1063225365 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063225365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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