OrganizationActive
Atlantic General Hospital Corporation
NPI 1205654985 · Gastroenterology Physician · Berlin, MD
Provider details
- NPI number
- 1205654985
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Atlantic General Hospital Corporation
- Organization subpart
- Yes
- Authorized official
- Stephanie Gary, Svp, Finance/Cfo of Tidalhealth(410) 912-6059
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
10231 Old Ocean City Blvd Ste 205
Berlin, MD 21811-3568
Phone: (410) 629-6800
Approximate (ZIP-level) locationGet directions
Mailing address
9733 Healthway Dr
Berlin, MD 21811-1156
Other names (DBA / former)
- Doing business as
- Atlantic General Health System
- Doing business as
- Atlantic General Health System
Registry dates
- Enumerated
- 2024-10-01
- Last updated
- 2025-05-30
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.