TIDALHEALTH PRIMARY CARE, LLC

NPI # 

Practice Address:

11101 Cathage Rd Unit 102

Berlin, MD, 21811-2115

Practice Phone:

410-912-6104

Taxonomy Grouping:

Allopathic & Osteopathic Physicians

Taxonomy Classification:

Family Medicine

Taxonomy Code:

207Q00000X

Updated by NPPES on 7/22/2025. You can view the original data set for NPI # 1538988811 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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TIDALHEALTH PRIMARY CARE, LLC's

CMS CPT® coding data

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TIDALHEALTH PRIMARY CARE, LLC's

CMS prescription data

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