NPI 1396558623

Tidalhealth Physician Network, INC.

Organisation Surgery Physician Seaford, DE

Practice location

Address: 201 Health Services Dr, Seaford, DE 19973-5771
Phone: (302) 297-2504
Mailing address: PO Box 824327, Philadelphia, PA 19182-4327

Authorised official

Name: William Pelot
Title: Chief Administrator Officer
Phone: (410) 543-7497

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Delaware →

Registry record

NPI: 1396558623
Entity type: Organization
NPI issued: 30 Jan 2025
Record last updated: 22 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.