Graduated: 1992
NPI: 1962463919
Practice Locations (2)
TIDALHEALTH SPECIALTY CARE LLC
200 FEDERAL ST
SEAFORD, DE 199735764
4109124976
TIDALHEALTH SPECIALTY CARE LLC
801 MIDDLEFORD RD
SEAFORD, DE 199733636
Source: CMS National Downloadable File, September 2026.