Organization · Type 2 NPI

Tidalhealth Specialty Care, LLC

Neurology Physician · Berlin, MD

NPI number 1720940869 Active

Practice location

9714 Healthway Dr
Berlin, MD 21811-1154

Mailing address

PO Box 825461
Philadelphia, PA 19182-5461

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XNone listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1720940869

Tidalhealth Specialty Care, LLC's National Provider Identifier is 1720940869, issued on Nov 26, 2025. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Berlin, MD. The record was last updated on Nov 26, 2025.