Tidalhealth Primary Care, LLC

NPI #1699594960 in Berlin, Maryland

Provider Information

NPI Number: 1699594960
Entity Type: Organization
Organization Name: Tidalhealth Primary Care, LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 4, 2024
Last Updated: Jul 22, 2025

Practice Location

Address: 9950 N MAIN ST
City: Berlin
State: Maryland
ZIP Code: 21811-1076
Phone: (410) 912-6710

Authorized Official

Name: WILLIAM PELOT
Title: CHIEF ADMINISTRATOR OFFICER
Phone: (410) 543-7497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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