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Organization
UMG PRIMARY CARE OF MARYLAND LLC
Active
Organization
UMG PRIMARY CARE OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KULAK (ADMINISTRATOR)
(703) 730-1655
Entity
Organization
Contact information
Practice address
221 AMERICAN WAY, OXON HILL, MD 20745-1597
(301) 567-9100
Mailing address
4158 DALE BLVD, WOODBRIDGE, VA 22193-2225
(301) 567-9100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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