Tidalhealth Primary Care, LLC

NPI #1952263014 in Berlin, Maryland

Provider Information

NPI Number: 1952263014
Entity Type: Organization
Organization Name: Tidalhealth Primary Care, LLC
Primary Specialty: Pediatrics
Enumeration Date: Nov 26, 2025
Last Updated: Nov 26, 2025

Practice Location

Address: 10614 RACETRACK RD UNIT 1
City: Berlin
State: Maryland
ZIP Code: 21811-3383
Phone: (443) 728-1004

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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