Organization · Type 2 NPI

Tidalhealth Peninsula Regional, Inc.

Hematology & Oncology Physician · Berlin, MD

NPI number 1538026505 Active

Practice location

11105 Cathage Rd
Berlin, MD 21811-2131

Call (410) 912-4934 Map

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.

6 other providers at this address

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About NPI 1538026505

Tidalhealth Peninsula Regional, Inc.'s National Provider Identifier is 1538026505, issued on Jan 9, 2026. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Berlin, MD. The record was last updated on Jan 9, 2026.