# UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225883028
- **Authorized official:** PAUL STEPHEN NICHOLSON (AO)
- **Authorized official phone:** (410) 337-1602

## Contact information

- **Practice address:** 610 DUTCHMANS LN, EASTON, MD 21601-3346
- **Practice address phone:** (410) 822-4000
- **Mailing address:** 900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 04/23/2024