University of Maryland Community Medical Group, Inc.

NPI #1689415101 in Glen Burnie, Maryland

Provider Information

NPI Number
1689415101
Entity Type
Organization
Organization Name
University of Maryland Community Medical Group, Inc.
Primary Specialty
Pharmacist
Enumeration Date
Jun 6, 2024
Last Updated
Jun 7, 2024

Practice Location

Address
203 HOSPITAL DR STE 312
ZIP Code
21061-6906
Phone
(410) 787-4291

Authorized Official

Name
PAUL STEPHEN NICHOLSON
Title
AO
Phone
(410) 337-1602

Specialties & Taxonomy Codes

Specialty
Pharmacist

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