University of Maryland Community Medical Group, Inc.

NPI #1770330540 in Millersville, Maryland

Provider Information

NPI Number
1770330540
Entity Type
Organization
Organization Name
University of Maryland Community Medical Group, Inc.
Primary Specialty
Family Medicine
Enumeration Date
May 1, 2024
Last Updated
May 1, 2024

Practice Location

Address
8601 VETERANS HWY
Address 2
111
ZIP Code
21108-1571
Phone
(410) 553-8090

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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