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Organization
UNIVERSITY OF MARYLAND PHYSICIANS, P.A.
Active
Organization
UNIVERSITY OF MARYLAND PHYSICIANS, P.A.
Active
Parent organization
UNIVERSITY OF MARYLAND PHYSICIANS, P.A.
Other names
UNIV OF MD MED GRP - GIM
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF MARYLAND PHYSICIANS, P.A.
Authorized official
KIMBERLY LINGENFELTER (CREDENTIALING SPECIALIST)
(410) 328-8040
Entity
Organization
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(667) 214-1515
(410) 328-8326
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(410) 328-0248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
MD
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RH0005X
Hypertension Specialist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034460902
—
DC
05
—
1104877075
—
DE
05
—
764571600
—
MD
Enumeration date
05/15/2006
Last updated
04/11/2023
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