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Organization

UNIVERSITY OF MARYLAND MEDICAL REGIONAL PROFESSIONAL SERVICES, LLC

Active
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Organization

UNIVERSITY OF MARYLAND MEDICAL REGIONAL PROFESSIONAL SERVICES, LLC

Active
Other names
Towson Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL STEPHEN NICHOLSON (CFO)
(410) 337-1000
Entity
Organization

Contact information

Practice address
5 BEL AIR SOUTH PKWY STE 1421, BEL AIR, MD 21015-3812
(410) 569-8587
(443) 922-7025
Mailing address
7601 OSLER DR, TOWSON, MD 21204-7700

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—

Other

Enumeration date
09/14/2021
Last updated
09/14/2021
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