Organization · Type 2 NPI

Atlantic General Hospital Corporation

Hematology & Oncology Physician · Berlin, MD

NPI number 1093533788 Active

Practice location

9707 Healthway Dr
Berlin, MD 21811-3500

Call (410) 629-6888 Map

Mailing address

9733 Healthway Dr
Berlin, MD 21811-1156

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed
Medical Oncology Physician	207RX0202X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Another provider at this address

Tidalhealth Specialty Care, LLCHematology & Oncology Physician Berlin, MD NPI 1386506426

Other hematology & oncology physician providers in Berlin

See all in Berlin →

NPI record

NPI: 1093533788
Entity type: Organization (Type 2)
Issued: Oct 1, 2024
Last updated: May 30, 2025
Status: Active
Subpart: Yes of Atlantic General Hospital Corporation

Other names

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Atlantic General Health System · doing business as
Atlantic General Health System · doing business as

Authorized official

Stephanie Gary
SVP, Finance/cfo of Tidalhealth
(410) 912-6059

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093533788

Atlantic General Hospital Corporation's National Provider Identifier is 1093533788, issued on Oct 1, 2024. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Berlin, MD. The record was last updated on May 30, 2025.