# UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609623529
- **Authorized official:** THOMAS SMYTH (PRESIDENT AND CEO)
- **Authorized official phone:** (410) 328-1376

## Contact information

- **Practice address:** 25 CROSSROADS DR STE 400, OWINGS MILLS, MD 21117-5439
- **Practice address phone:** (410) 427-2636
- **Mailing address:** 900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2024
- **Last updated:** 04/30/2024