University of Maryland Community Medical Group, Inc.

NPI #1013765981 in Glen Burnie, Maryland

Provider Information

NPI Number
1013765981
Entity Type
Organization
Organization Name
University of Maryland Community Medical Group, Inc.
Primary Specialty
Family Medicine
Enumeration Date
May 7, 2024
Last Updated
May 7, 2024

Practice Location

Address
305 HOSPITAL DRIVE
Address 2
STE 304
ZIP Code
21061-5862
Phone
(410) 553-8146

Authorized Official

Name
PAUL STEPHEN NICHOLSON
Title
AO
Phone
(410) 337-1602

Specialties & Taxonomy Codes

Specialty
Family Medicine

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