University of Maryland Community Medical Group, Inc.

NPI #1760232417 in Glen Burnie, Maryland

Provider Information

NPI Number
1760232417
Entity Type
Organization
Organization Name
University of Maryland Community Medical Group, Inc.
Primary Specialty
Family Medicine
Enumeration Date
Mar 25, 2024
Last Updated
Mar 25, 2024

Practice Location

Address
300 HOSPITAL DRIVE
Address 2
SUITE 119
ZIP Code
21061-5706
Phone
(410) 553-8240

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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