# UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1295367894
- **Authorized official:** PAUL STEPHEN NICHOLSON (CFO)
- **Authorized official phone:** (410) 822-1000

## Contact information

- **Practice address:** 301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
- **Practice address phone:** (410) 787-4000
- **Mailing address:** 900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2020
- **Last updated:** 03/06/2024