Graduated: 2021
NPI: 1003330739
Practice Locations (3)
TIDALHEALTH PHYSICIAN NETWORK, INC.
SEAFORD, DE 19973
30262966118802
TIDALHEALTH PHYSICIAN NETWORK, INC.
100 RAWLINS DR
SEAFORD, DE 199735881
3029903300
TIDALHEALTH SPECIALTY CARE LLC
200 FEDERAL ST
SEAFORD, DE 199735764
4109124976
Source: CMS National Downloadable File, September 2026.