University of Maryland Community Medical Group, Inc.

NPI #1386494029 in Denton, Maryland

Provider Information

NPI Number: 1386494029
Entity Type: Organization
Organization Name: University of Maryland Community Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Mar 25, 2024
Last Updated: Mar 25, 2024

Practice Location

Address: 842 S 5TH AVE
City: Denton
State: Maryland
ZIP Code: 21629-1398
Phone: (410) 479-4639

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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