Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Physician Network, Inc

Organization Gastroenterology Physician · NPI 1063377679

Tidalhealth Physician Network, Inc is a Gastroenterology Physician in Seaford, Delaware. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Health Services Dr
Seaford, DE 19973
Phone: (302) 297-2506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1063377679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrator Officer · (410) 543-7497
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 16, 2025
Mailing addressPo Box 824327, Philadelphia, PA 19182-4327

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