Graduated: 2013
NPI: 1669548574
Practice Locations (2)
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.