University of Maryland Community Medical Group, Inc.

NPI #1609693118 in La Plata, Maryland

Provider Information

NPI Number
1609693118
Entity Type
Organization
Organization Name
University of Maryland Community Medical Group, Inc.
Primary Specialty
Family Medicine
Enumeration Date
Sep 25, 2024
Last Updated
Sep 25, 2024

Practice Location

Address
101 CENTENNIAL ST STE E
ZIP Code
20646-5976
Phone
(301) 392-0525

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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