University of Maryland Community Medical Group, Inc.

NPI #1841045101 in La Plata, Maryland

Provider Information

NPI Number
1841045101
Entity Type
Organization
Organization Name
University of Maryland Community Medical Group, Inc.
Primary Specialty
Family Medicine
Enumeration Date
Apr 20, 2024
Last Updated
Apr 20, 2024

Practice Location

Address
100 N OAK AVE
ZIP Code
20646-3700
Phone
(301) 609-5006

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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