# UNIVERSITY CARE LLC

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

## Provider details

- **NPI number:** 1497760276
- **Authorized official:** DR. NEIL SIEGEL (CHIEF MEDICAL DIRECTOR)
- **Authorized official phone:** (410) 328-1700

## Contact information

- **Practice address:** 4538 EDMONDSON AVE, BALTIMORE, MD 21229-1506
- **Practice address phone:** (410) 328-1700
- **Practice address fax:** (410) 362-1748
- **Mailing address:** PO BOX 64888, BALTIMORE, MD 21264-4888
- **Mailing address phone:** (800) 889-4939
- **Mailing address fax:** (301) 631-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 11/28/2011