Organization · Type 2 NPI

Atlantic General Hospital Corporation

Diagnostic Radiology Physician · Berlin, MD

NPI number 1891513438 Active

Practice location

10614 Racetrack Rd Unit 2
Berlin, MD 21811-3383

Call (410) 641-9640 Map

Mailing address

9733 Healthway Dr
Berlin, MD 21811-1156

Specialties and licenses

Taxonomy	Code	License
Nuclear Radiology Physician	2085N0904X	None listed
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.

Another provider at this address

Tidalhealth Specialty Care, LLCDiagnostic Radiology Physician Berlin, MD NPI 1932061082

Other diagnostic radiology physician providers in Berlin

See all in Berlin →

NPI record

NPI: 1891513438
Entity type: Organization (Type 2)
Issued: Oct 2, 2024
Last updated: May 30, 2025
Status: Active
Subpart: Yes of Atlantic General Hospital Corporation

Other names

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Atlantic General Health System · doing business as
Atlantic General Health System · doing business as

Authorized official

Stephanie Gary
SVP, Finance/cfo of Tidalhealth
(410) 912-6059

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891513438

Atlantic General Hospital Corporation's National Provider Identifier is 1891513438, issued on Oct 2, 2024. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Berlin, MD. The record was last updated on May 30, 2025.