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1699594960
TIDALHEALTH PRIMARY CARE, LLC
BERLIN, MD
NPI
1699594960
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Entity Type
Organization
Authorized Contact
STEPHANIE GARY
Vice President Finance
410-912-6059
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-10-04
Last Update Date
2024-10-04
Business Address
TIDALHEALTH PRIMARY CARE, LLC
9950 N MAIN ST
BERLIN, MD 21811-1076
Phone number: 410-912-6710
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Mailing Address
TIDALHEALTH PRIMARY CARE, LLC
PO BOX 825474
PHILADELPHIA, PA 19182-5474
Phone number: 410-912-6989
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