University of Maryland Community Medical Group, Inc.
NPI #1396536140 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1396536140
- Entity Type
- Organization
- Organization Name
- University of Maryland Community Medical Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 13, 2025
- Last Updated
- May 13, 2025
Practice Location
- Address
- 255 HOSPITAL DR STE 108
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-5801
- Phone
- (410) 757-4675
Authorized Official
- Name
- PAUL STEPHEN NICHOLSON
- Title
- SENIOR VICE PRESIDENT
- Phone
- (410) 337-1602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Family Medicine |
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