Organization · Type 2 NPI

Tidalhealth Primary Care, LLC

Family Medicine Physician · Berlin, MD

NPI number 1316809478 Active

Practice location

10324 Old Ocean City Blvd
Berlin, MD 21811-1132

Mailing address

PO Box 825474
Philadelphia, PA 19182-5474

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

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About NPI 1316809478

Tidalhealth Primary Care, LLC's National Provider Identifier is 1316809478, issued on Nov 26, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Berlin, MD. The record was last updated on Nov 26, 2025.