Organization · Type 2 NPI

Tidalhealth Specialty Care, LLC

Obstetrics & Gynecology Physician · Berlin, MD

NPI number 1093677148 Active

Practice location

10614 Racetrack Rd Unit 3
Berlin, MD 21811-3383

Mailing address

PO Box 825461
Philadelphia, PA 19182-5461

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XNone listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1093677148

Tidalhealth Specialty Care, LLC's National Provider Identifier is 1093677148, issued on Nov 26, 2025. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Berlin, MD. The record was last updated on Jul 20, 2026.