University of Maryland Community Medical Group, Inc.

NPI #1467208157 in Linthicum, Maryland

Provider Information

NPI Number: 1467208157
Entity Type: Organization
Organization Name: University of Maryland Community Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Apr 24, 2024
Last Updated: Apr 24, 2024

Practice Location

Address: 509 PROGRESS DRIVE
Address 2: SUITE 100
City: Linthicum
State: Maryland
ZIP Code: 21090-2266
Phone: (410) 589-6340

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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