Organization · Type 2 NPI
Tidalhealth Specialty Care, LLC
Diagnostic Radiology Physician · Berlin, MD
NPI number
1932061082
Active
Practice location
10614 Racetrack Rd Unit 2
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.
Another provider at this address
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About NPI 1932061082
Tidalhealth Specialty Care, LLC's National Provider Identifier is 1932061082, 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 Nov 26, 2025.