Organization · Type 2 NPI

Tidalhealth Specialty Care, LLC

Hematology & Oncology Physician · Berlin, MD

NPI number 1386506426 Active

Practice location

9707 Healthway Dr
Berlin, MD 21811-3500

Mailing address

PO Box 825461
Philadelphia, PA 19182-5461

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone 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.

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About NPI 1386506426

Tidalhealth Specialty Care, LLC's National Provider Identifier is 1386506426, issued on Nov 26, 2025. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Berlin, MD. The record was last updated on Nov 26, 2025.