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Organization
TIDALHEALTH PRIMARY CARE, LLC
Active
Organization
TIDALHEALTH PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SLOAN TRAMMELL (CREDENTIALING MANAGER)
(410) 912-6989
Entity
Organization
Contact information
Practice address
10614 RACETRACK RD UNIT 1, BERLIN, MD 21811-3383
(443) 728-1004
Mailing address
PO BOX 825474, PHILADELPHIA, PA 19182-5474
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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