# UNIVERSITY OF MARYLAND SPORTS MEDICINE AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1710375910
- **Authorized official:** MS. MELANIE ROBIN (INCENTIVE PROGRAMS MANAGER)
- **Authorized official phone:** (667) 214-1069

## Contact information

- **Practice address:** 379 FIELD HOUSE DR, COLLEGE PARK, MD 20742-5415
- **Practice address phone:** (667) 214-1333
- **Mailing address:** PO BOX 64380, BALTIMORE, MD 21264-4380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 12/23/2014