Organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SLOAN TRAMMELL (CREDENTIALING MANAGER)
(410) 912-6989
Entity
Organization
Contact information
Practice address
11105 CATHAGE RD, BERLIN, MD 21811-2131
(410) 912-4934
Mailing address
11105 CATHAGE RD, BERLIN, MD 21811-2131
(410) 912-4934
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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