# UNIVERSITY OF MARYLAND PEDIATRIC ASSOC PA

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

## Provider details

- **NPI number:** 1912002320
- **Authorized official:** MARGIE I BURR (DIRECTOR OF REVENUE MANAGEMENT)
- **Authorized official phone:** (410) 706-5181

## Contact information

- **Practice address:** 22 SOUTH GREENE STREET, BALTIMORE, MD 21201
- **Practice address phone:** (410) 706-5181
- **Practice address fax:** (410) 706-5103
- **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 |
| --- | --- | --- | --- | --- |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | NULL | Yes |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 07/15/2026