University of Maryland Community Medical Group, Inc.

NPI #1356196158 in La Plata, Maryland

Provider Information

NPI Number
1356196158
Entity Type
Organization
Organization Name
University of Maryland Community Medical Group, Inc.
Primary Specialty
Family Medicine
Enumeration Date
Apr 23, 2024
Last Updated
Apr 23, 2024

Practice Location

Address
500 CHARLES ST
ZIP Code
20646-5931
Phone
(301) 609-4699

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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