University of Maryland Community Medical Group, Inc.
NPI #1174370530 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1174370530
- Entity Type
- Organization
- Organization Name
- University of Maryland Community Medical Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 3, 2024
- Last Updated
- May 3, 2024
Practice Location
- Address
- 301 HOSPITAL DRIVE
- Address 2
- SUITE 802
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-5803
- Phone
- (410) 553-8290
Authorized Official
- Name
- PAUL STEPHEN NICHOLSON
- Title
- AO
- Phone
- (410) 337-1602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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