OrganizationActive
Atlantic General Hospital Corporation
NPI 1891513438 · Diagnostic Radiology Physician · Berlin, MD
Provider details
- NPI number
- 1891513438
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Atlantic General Hospital Corporation
- Authorized official
- Stephanie Gary, Svp, Finance/Cfo of Tidalhealth
Practice location
10614 Racetrack Rd Unit 2
Berlin, MD 21811-3383
Phone: (410) 641-9640
Mailing address
9733 Healthway Dr
Berlin, MD 21811-1156
Registry dates
- Enumerated
- 2024-10-02
- Last updated
- 2025-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.