Organization · Type 2 NPI

Tidalhealth Primary Care, LLC

Pediatrics Physician · Berlin, MD

NPI number 1952263014 Active

Practice location

10614 Racetrack Rd Unit 1
Berlin, MD 21811-3383

Mailing address

PO Box 825474
Philadelphia, PA 19182-5474

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1952263014

Tidalhealth Primary Care, LLC's National Provider Identifier is 1952263014, issued on Nov 26, 2025. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Berlin, MD. The record was last updated on Nov 26, 2025.