Organization · Type 2 NPI

Tidalhealth Specialty Care, LLC

Pulmonary Disease Physician · Berlin, MD

NPI number 1558223602 Active

Practice location

10614 Racetrack Rd Unit 5
Berlin, MD 21811-3383

Mailing address

PO Box 825461
Philadelphia, PA 19182-5461

Specialties and licenses

TaxonomyCodeLicense
Pulmonary Disease Physician Primary 207RP1001XNone listed

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

5 other providers at this address

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About NPI 1558223602

Tidalhealth Specialty Care, LLC's National Provider Identifier is 1558223602, issued on Nov 26, 2025. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Berlin, MD. The record was last updated on Nov 26, 2025.