# UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1679309447
- **Authorized official:** MARGIE OLLER BURR (DIRECTOR OF PROFESSIONAL FEES)
- **Authorized official phone:** (410) 706-5181

## Contact information

- **Practice address:** 350 MONTEVUE LN, FREDERICK, MD 21702-8245
- **Practice address phone:** (410) 328-6749
- **Practice address fax:** (410) 328-7305
- **Mailing address:** PO BOX 62063, BALTIMORE, MD 21264-2063
- **Mailing address phone:** (410) 706-5181
- **Mailing address fax:** (410) 706-5103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/10/2024
- **Last updated:** 02/06/2026