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Organization
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Active
Organization
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEPHEN NICHOLSON (CFO)
(410) 822-1000
Entity
Organization
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
03/06/2024
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