Graduated: 2011
NPI: 1528482908
Practice Locations (4)
TIDALHEALTH SPECIALTY CARE LLC
200 FEDERAL ST
SEAFORD, DE 199735764
4109124976
TIDALHEALTH SPECIALTY CARE LLC
801 MIDDLEFORD RD
SEAFORD, DE 199733636
WELLSPAN MEDICAL GROUP
450 S WASHINGTON ST, SUITE A
GETTYSBURG, PA 173252500
7173393105
PENN STATE HEALTH MEDICAL GROUP LLC
2160 STATE RD
LANCASTER, PA 176011812
7178217443
Source: CMS National Downloadable File, September 2026.