Tidalhealth Peninsula Regional, Inc.

NPI #1538026505 in Berlin, Maryland

Provider Information

NPI Number: 1538026505
Entity Type: Organization
Organization Name: Tidalhealth Peninsula Regional, Inc.
Primary Specialty: Internal Medicine - Hematology & Oncology
Enumeration Date: Jan 9, 2026
Last Updated: Jan 9, 2026

Practice Location

Address: 11105 CATHAGE RD
City: Berlin
State: Maryland
ZIP Code: 21811-2131
Phone: (410) 912-4934

Authorized Official

Name: SLOAN TRAMMELL
Title: CREDENTIALING MANAGER
Phone: (410) 912-6989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Hematology & Oncology — Hematology & Oncology	207RH0003X	Primary

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