University of Maryland Community Medical Group, Inc.

NPI #1831946136 in Denton, Maryland

Provider Information

NPI Number: 1831946136
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: 1140 BLADES FARM RD
Address 2: SUITE 103
City: Denton
State: Maryland
ZIP Code: 21629
Phone: (410) 822-4888

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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