University of Maryland Community Medical Group, Inc.

NPI #1609623065 in Laplata, Maryland

Provider Information

NPI Number: 1609623065
Entity Type: Organization
Organization Name: University of Maryland Community Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: May 3, 2024
Last Updated: May 3, 2024

Practice Location

Address: 5 NORTH LA PLATA COURT
Address 2: SUITE 101
City: Laplata
State: Maryland
ZIP Code: 20646-5207
Phone: (301) 609-5044

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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