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Tidalhealth Physician Network, Inc. — NPI 1639982952, Bridgeville, DE | NPI Central

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NPI 1639982952

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Tidalhealth Physician Network, Inc.

NPI 1639982952 · Family Medicine Physician · Bridgeville, DE

Provider details

NPI number: 1639982952
Entity type: Organization
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: William Pelot, Chief Administrator Officer(410) 543-7497

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000X
Allopathic & Osteopathic Physicians

Practice location

9111 Antique Aly Unit 1

Bridgeville, DE 19933-4682

Phone: (302) 337-9320

Approximate (ZIP-level) locationGet directions

More DE providers

Mailing address

Po Box 824327

Philadelphia, PA 19182-4327

Other names (DBA / former)

Other name: Tidalhealth Bridgeville
Other name: Tidalhealth Bridgeville

Registry dates

Enumerated: 2025-01-30
Last updated: 2025-07-22
Certified: 2025-07-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.