Organization · Type 2 NPI

Tidalhealth Specialty Care, LLC

Specialist · Berlin, MD

NPI number 1629930763 Active

Practice location

9714 Healthway Dr
Berlin, MD 21811-1154

Call (410) 641-4765 Map

Mailing address

PO Box 825461
Philadelphia, PA 19182-5461

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629930763

Tidalhealth Specialty Care, LLC's National Provider Identifier is 1629930763, issued on Nov 26, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Berlin, MD. The record was last updated on Nov 26, 2025.