University of Maryland Community Medical Group, Inc.

NPI #1306691399 in Denton, Maryland

Provider Information

NPI Number: 1306691399
Entity Type: Organization
Organization Name: University of Maryland Community Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Apr 22, 2024
Last Updated: Apr 22, 2024

Practice Location

Address: 520 KERR AVE
City: Denton
State: Maryland
ZIP Code: 21629-1343
Phone: (410) 479-2130

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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