Organization · Type 2 NPI
Tidalhealth Specialty Care, LLC
Diagnostic Radiology Physician · Berlin, MD
NPI number
1710849872
Active
Practice location
10614 Racetrack Rd Unit 4
Berlin, MD 21811-3383
Mailing address
PO Box 825461
Philadelphia, PA 19182-5461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1710849872
Tidalhealth Specialty Care, LLC's National Provider Identifier is 1710849872, issued on Nov 26, 2025. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Berlin, MD. The record was last updated on Dec 29, 2025.