Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1992
NPI: 1669440681
Practice Locations (5)
TIDALHEALTH PHYSICIAN NETWORK, INC.
801 MIDDLEFORD RD
SEAFORD, DE 199733636
30262966118802
TIDALHEALTH PHYSICIAN NETWORK, INC.
3304 HAYMAN DR
FEDERALSBURG, MD 216322626
4107542440
TIDALHEALTH PRIMARY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH PRIMARY CARE LLC
145 E CARROLL ST, TIDALHEALTH COMMUNITY CLINIC
SALISBURY, MD 218015454
4105437717
TIDALHEALTH PRIMARY CARE LLC
400 EASTERN SHORE DR
SALISBURY, MD 218045513
4105438240
Source: CMS National Downloadable File, September 2026.