University of Maryland Community Medical Group, Inc.
NPI #1083455505 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1083455505
- Entity Type
- Organization
- Organization Name
- University of Maryland Community Medical Group, Inc.
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jun 6, 2024
- Last Updated
- Jun 6, 2024
Practice Location
- Address
- 203 HOSPITAL DR STE 200
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-6905
- Phone
- (410) 553-8362
Authorized Official
- Name
- PAUL STEPHEN NICHOLSON
- Title
- AO
- Phone
- (410) 337-1602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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